MS. SVETA A KARELSKY M.D.
NPI 1265453328
Otolaryngology in Rochester, NY

Active since July 22, 2006PECOS EnrolledAccepts Medicare Assignment
89.35/100
CMS Quality Rating
2365 S CLINTON AVE, SUITE 200, ROCHESTER, NY 14618(585) 758-5700(585) 758-1293 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Sveta A Karelsky M.d. NPPES

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

MS. SVETA A KARELSKY M.D. (NPI 1265453328) is an individual otolaryngology provider in Rochester, New York, licensed in New York (262317) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2006).

NPPES Registry Identity

NPI1265453328
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameMS. SVETA A KARELSKYCredential: M.D.
Location Address2365 S CLINTON AVE, SUITE 200Rochester, NY 14618-2663
Mailing Address1555 Elmwood Ave, Apt #3Rochester, NY 14620-3610 · (615) 347-7785
Fax(585) 758-1293
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2006
Enumeration DateJuly 22, 2006
Last NPPES UpdateJuly 6, 2023
NPI 1265453328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NY · 262317
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

2365 S CLINTON AVE, Rochester, NY 14618

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

Ms. Sveta A Karelsky M.d. 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 ID4082885413
PECOS Enrollment IDI20110915000495
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services23 patients
Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope 42975
This procedure examines your upper airway for sleep-related breathing issues. An endoscope, a thin tube with a light and camera, is gently inserted through your nose. This allows a detailed view of your airway to identify any abnormalities that could disrupt your sleep.
26 services25 patients
Insertion of hypoglossal nerve neurostimulator electrode and generator and breathing sensor electrode 64582
This procedure involves placing a device that stimulates the hypoglossal nerve, which controls tongue movement. A generator powers the device and a sensor monitors your breathing. This helps keep the airway open during sleep, improving conditions like sleep apnea.
17 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14618 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.02
Promoting Interoperability100
Improvement Activities40
Cost74.81

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Cardiovascular Disease)
2365 S CLINTON AVE, STE 100
ROCHESTER, NY 14618
Nurse Practitioner
2365 S CLINTON AVE, SUITE 100
ROCHESTER, NY 14618
Internal Medicine (Cardiovascular Disease)
2365 S CLINTON AVE, STE 100
ROCHESTER, NY 14618
Otolaryngology
2365 S CLINTON AVE, SUITE 200
ROCHESTER, NY 14618
Audiologist
2365 S CLINTON AVE
ROCHESTER, NY 14618
Audiologist-Hearing Aid Fitter
2365 S CLINTON AVE, SUITE 200
ROCHESTER, NY 14618
Audiologist
2365 S CLINTON AVE, SUITE 200
ROCHESTER, NY 14618
Audiologist-Hearing Aid Fitter
2365 S CLINTON AVE
ROCHESTER, NY 14618

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 Sveta Karelsky's NPI number?

The NPI number for Sveta Karelsky is 1265453328. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Sveta Karelsky located?

Sveta Karelsky practices at 2365 S Clinton Ave Suite 200, Rochester, NY 14618. The listed phone number is (585) 758-5700.

What is Sveta Karelsky's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Sveta Karelsky enrolled in Medicare?

Yes. Sveta Karelsky 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.

Is Sveta Karelsky affiliated with any hospitals?

According to CMS data, Sveta Karelsky is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sveta Karelsky was last updated on July 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.