BILLY ZHAO
NPI 1265967301
Radiology - Diagnostic Radiology in Rochester, NY

Active since April 26, 2017PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-4000 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Billy Zhao NPPES

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

BILLY ZHAO (NPI 1265967301) is an individual diagnostic radiology provider in Rochester, New York, licensed in New York (315537) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Newark-wayne Community Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265967301
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameBILLY ZHAO
Location Address1425 PORTLAND AVERochester, NY 14621-3011
Mailing Address1425 Portland AveRochester, NY 14621-3011 · (585) 922-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 26, 2017
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
NPI 1265967301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NY · 315537
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1425 PORTLAND AVE, 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

Billy Zhao 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 ID6901283027
PECOS Enrollment IDI20220511001289
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 32

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
256 services224 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
123 services123 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
123 services123 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
114 services111 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
90 services90 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
90 services90 patients

Hospital Affiliations CMS Care Compare 4

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

Newark-Wayne Community Hospital

Acute Care Hospitals · Newark, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330030
Location111 Driving Park AvenueNewark, NY 14513 · Wayne County
Emergency services Birthing friendly

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

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.

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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
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 Billy Zhao's NPI number?

The NPI number for Billy Zhao is 1265967301. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Where is Billy Zhao located?

Billy Zhao practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-4000.

What is Billy Zhao's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Billy Zhao enrolled in Medicare?

Yes. Billy Zhao 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 Billy Zhao affiliated with any hospitals?

According to CMS data, Billy Zhao is affiliated with Newark-Wayne Community Hospital, United Memorial Medical Center, Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Billy Zhao was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.