MARCO ERTREO MD
NPI 1265827224
Radiology - Vascular & Interventional Radiology in Rochester, NY

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
88.28/100
CMS Quality Rating
601 ELMWOOD AVE DEPT OF, ROCHESTER, NY 14642(585) 275-2100 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2023, Jun 28, 2021 (2 updates tracked since 2021).

About Marco Ertreo Md NPPES

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

MARCO ERTREO MD (NPI 1265827224) is an individual vascular & interventional radiology provider in Rochester, New York, licensed in New York (310483) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1265827224
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameMARCO ERTREOCredential: MD
Location Address601 ELMWOOD AVE DEPT OFRochester, NY 14642-2113
Mailing Address601 Elmwood AveRochester, NY 14642-0001
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 6, 2015
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
✔ NPI 1265827224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in NY · 310483
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 310483 (NY)
601 ELMWOOD AVE DEPT OF, Rochester, NY 14642

Secondary Practice Location 1

Location 13800 Reservoir Rd NW, Department of Diagnostic RadiologyWashington, DC 20007-2113 · Phone (202) 444-3314

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marco Ertreo Md 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 ID9931501707
PECOS Enrollment IDI20210715003501
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marco Ertreo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
601 ELMWOOD AVE, BOX 648
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 198 clinicians in this Medicare group
Rural
7329 SENECA ROAD NORTH
Hornell, NY 14843
  • Reassigned Medicare billing, New York enrollment
  • 436 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
30 services28 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
23 services23 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
22 services22 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
15 services12 patients
Replacement of kidney drainage tube using imaging guidance with review by radiologist 50435
This procedure involves replacing an existing kidney drainage tube. Using imaging technology, a radiologist precisely guides the process to ensure accuracy. This helps drain excess fluid from kidneys, improving their function and your comfort.
14 services12 patients
Insertion of tunneled central venous tube for infusion (5 years or older) 36558
The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.
11 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 14642 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.

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.

88.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.08
Promoting Interoperability100
Improvement Activities40
Cost76.92

Other Providers at the Same Location NPPES 5

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

Anesthesiology
601 ELMWOOD AVE DEPT OF
ROCHESTER, NY 14642
Occupational Therapist
601 ELMWOOD AVE DEPT OF
ROCHESTER, NY 14642
Anesthesiology (Critical Care Medicine)
601 ELMWOOD AVE DEPT OF
ROCHESTER, NY 14642
Anesthesiology
601 ELMWOOD AVE DEPT OF
ROCHESTER, NY 14642
Occupational Therapist
601 ELMWOOD AVE DEPT OF
ROCHESTER, NY 14642

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 Marco Ertreo's NPI number?

The NPI number for Marco Ertreo is 1265827224. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Marco Ertreo located?

Marco Ertreo practices at 601 Elmwood Ave Dept Of, Rochester, NY 14642. The listed phone number is (585) 275-2100.

What is Marco Ertreo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Marco Ertreo enrolled in Medicare?

Yes. Marco Ertreo 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.

Which organizations bill Medicare for Marco Ertreo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marco Ertreo reassigns Medicare benefits to 2 organizations: Radiologists Of Univ Of Rochester (Rochester, NY) and St James Hospital (Hornell, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marco Ertreo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marco Ertreo affiliated with any hospitals?

According to CMS data, Marco Ertreo is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Marco Ertreo was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.