KATELYN ANNE TIVEY PA-C
NPI 1316464621
Emergency Medicine in Rochester, NY

Q: What is Katelyn Tivey's NPI number?

The NPI number for Katelyn Tivey is 1316464621. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Q: What is Katelyn Tivey's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Tivey was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 28, 2017PECOS EnrolledAccepts Medicare Assignment

3648 DEWEY AVE, ROCHESTER, NY 14616(585) 736-3503 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 30, 2023, Jul 21, 2022, Aug 28, 2017 (3 updates tracked since 2017).

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About Katelyn Anne Tivey Pa-c NPPES

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

KATELYN ANNE TIVEY PA-C (NPI 1316464621) is an individual emergency medicine provider in Rochester, New York, licensed in Massachusetts (PA6241) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1316464621

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameKATELYN ANNE TIVEYCredential: PA-C

Location Address3648 DEWEY AVERochester, NY 14616-3024

Mailing Address3648 Dewey AveRochester, NY 14616-3024 · (585) 736-3503

Phone(585) 736-3503

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 28, 2017

Last NPPES UpdateOctober 30, 20233 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1316464621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MA · PA6241

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3648 DEWEY AVE, Rochester, NY 14616

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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

Katelyn Anne Tivey Pa-c 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 ID4183981319

PECOS Enrollment IDI20231109000097

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 14616 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.

Other Providers at the Same Location NPPES 6

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

MR. OLIVER COLAPRETE PA-C

Physician Assistant (Medical)