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EDWARD DAVID KAYE M.D.
NPI 1336559947
Psychiatry & Neurology - Sleep Medicine in Rochester, NY

Active since May 05, 2014PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
10 HAGEN DR STE 200, ROCHESTER, NY 14625(585) 442-4141(585) 442-6259 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward David Kaye M.d. NPPES

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

EDWARD DAVID KAYE M.D. (NPI 1336559947) is an individual sleep medicine provider in Rochester, New York, licensed in New York (300503) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with University Hospitals Portage Medical Center, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1336559947
Entity TypeIndividualMale
Primary Taxonomy2084S0012X
Provider Legal NameEDWARD DAVID KAYECredential: M.D.
Location Address10 HAGEN DR STE 200Rochester, NY 14625
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 442-4141 · Fax (585) 442-6259
Phone(585) 442-4141
Fax(585) 442-6259
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 5, 2014
Last NPPES UpdateAugust 23, 2019
✔ NPI 1336559947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0012X
License✔ Licensed in NY · 300503
Definition
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 300503 (NY)
10 HAGEN DR STE 200, Rochester, NY 14625
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Secondary Practice Location 1

Location 12655 Ridgeway Ave Ste 420Rochester, NY 14626-4296 · Phone (585) 723-7972 · Fax (585) 368-3119

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Edward David Kaye 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 ID7214235043
PECOS Enrollment IDI20221018001476
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 10

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 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.
78 services59 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
63 services63 patients
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.
62 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services30 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
29 services27 patients

Hospital Affiliations CMS Care Compare 3

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

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Uhhs Memorial Hospital Of Geneva

Critical Access Hospitals · Geneva, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361307
Location870 West Main StreetGeneva, OH 44041 · Ashtabula County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14625 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
$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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers73 claims73 services$34.13 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers24 claims24 services$74.18 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers23 claims62 services$27.30 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers33 claims163 services$16.51 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
8 suppliers30 claims168 services$12.61 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
15 suppliers65 claims65 services$48.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

KATY F BRIGGS PA
Physician Assistant (Medical)
10 HAGEN DR STE 200
ROCHESTER, NY 14625
Monroe County (585) 442-4141
AMY R MONACHINO APRN
Nurse Practitioner (Family)
10 HAGEN DR STE 200
ROCHESTER, NY 14625
Monroe County (585) 723-7575
MICHAEL HARRIS COHEN M.D.
Internal Medicine (Sleep Medicine)
10 HAGEN DR STE 200
ROCHESTER, NY 14625
Monroe County (585) 723-7575

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 Edward Kaye's NPI number?

The NPI number for Edward Kaye is 1336559947. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Edward Kaye located?

Edward Kaye practices at 10 Hagen Dr Ste 200, Rochester, NY 14625. The listed phone number is (585) 442-4141.

What is Edward Kaye's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Is Edward Kaye enrolled in Medicare?

Yes. Edward Kaye 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.

What insurance does Edward Kaye accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Edward Kaye as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edward Kaye affiliated with any hospitals?

According to CMS data, Edward Kaye is affiliated with University Hospitals Portage Medical Center, Uh Cleveland Medical Center and Uhhs Memorial Hospital Of Geneva.

When was this NPI record last updated?

The NPPES record for Edward Kaye was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.