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ALISON SCHUPPERT MD
NPI 1265920300
Family Medicine in Penfield, NY

Active since April 24, 2018PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
1835 FAIRPORT NINE MILE POINT RD STE 100, PENFIELD, NY 14526(585) 758-0777(585) 388-9079 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2023, Jun 15, 2021, Jun 11, 2021 and 2 more (5 updates tracked since 2018).

About Alison Schuppert Md NPPES

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

ALISON SCHUPPERT MD (NPI 1265920300) is an individual family medicine provider in Penfield, New York, licensed in New York (305668) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2018).

NPPES Registry Identity

NPI1265920300
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALISON SCHUPPERTCredential: MD
Location Address1835 FAIRPORT NINE MILE POINT RD STE 100Penfield, NY 14526-1903
Mailing Address1835 Fairport Nine Mile Point Rd Ste 100Penfield, NY 14526-1903 · (585) 758-0777 · Fax (585) 388-9079
Phone(585) 758-0777
Fax(585) 388-9079
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2018
Enumeration DateApril 24, 2018
Last NPPES UpdateJuly 7, 20235 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
✔ NPI 1265920300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 305668
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 305668 (NY)
1835 FAIRPORT NINE MILE POINT RD STE 100, Penfield, NY 14526
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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

Alison Schuppert 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 ID7719230754
PECOS Enrollment IDI20210828000229
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 Alison Schuppert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Highland Hospital Of Rochester
8.6 mi
General Acute Care Hospital
1000 SOUTH AVE
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 465 clinicians in this Medicare group
NPI 1972548568 (585) 473-2200
University Of Rochester
9.6 mi
Internal Medicine
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 279 clinicians in this Medicare group
NPI 1710226824 (585) 784-1017

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 3

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.
104 services52 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 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.
17 services16 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 14526 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.92
Promoting Interoperability100
Improvement Activities40
Cost62.98

Other Providers at the Same Location NPPES

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

DERRICK ALEXIS GERMAN MD
Family Medicine
1835 FAIRPORT NINE MILE POINT RD STE 100
PENFIELD, NY 14526
Monroe County (585) 758-0777

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 Alison Schuppert's NPI number?

The NPI number for Alison Schuppert is 1265920300. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Alison Schuppert located?

Alison Schuppert practices at 1835 Fairport Nine Mile Point Rd Ste 100, Penfield, NY 14526. The listed phone number is (585) 758-0777.

What is Alison Schuppert's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alison Schuppert enrolled in Medicare?

Yes. Alison Schuppert 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 Alison Schuppert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alison Schuppert reassigns Medicare benefits to 2 organizations: Highland Hospital Of Rochester (Rochester, NY) and University Of Rochester (Rochester, 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 Alison Schuppert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alison Schuppert affiliated with any hospitals?

According to CMS data, Alison Schuppert is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Alison Schuppert 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.