ANDREW TANTALO
NPI 1265023790
Physician Assistant in Rochester, NY

Active since January 28, 2021PECOS EnrolledAccepts Medicare Assignment
1238 E RIDGE RD, ROCHESTER, NY 14621(585) 537-3792 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2023, Jan 28, 2021 (2 updates tracked since 2021).

About Andrew Tantalo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW TANTALO (NPI 1265023790) is an individual physician assistant in Rochester, New York and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265023790
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW TANTALO
Location Address1238 E RIDGE RDRochester, NY 14621-2012
Mailing Address1238 E Ridge RdRochester, NY 14621-2012 · (585) 537-3792
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 28, 2021
Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
NPI 1265023790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1238 E RIDGE RD, Rochester, NY 14621

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrew Tantalo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901203744
PECOS Enrollment IDI20210922000691
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1238 E RIDGE RD
ROCHESTER, NY 14621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Tantalo's NPI number?

The NPI number for Andrew Tantalo is 1265023790. It was assigned to this individual provider in the NPPES registry on January 28, 2021.

Where is Andrew Tantalo located?

Andrew Tantalo practices at 1238 E Ridge Rd, Rochester, NY 14621. The listed phone number is (585) 537-3792.

What is Andrew Tantalo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrew Tantalo enrolled in Medicare?

Yes. Andrew Tantalo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrew Tantalo was last updated on October 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.