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MR. RYAN PETERSON PA
NPI 1356758940
Physician Assistant - Medical in Rochester, NY

Active since July 16, 2014PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
300 CRITTENDEN BLVD, ROCHESTER, NY 14642(585) 276-3700 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2023, Dec 19, 2016 (2 updates tracked since 2016).

About Mr. Ryan Peterson Pa NPPES

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

MR. RYAN PETERSON PA (NPI 1356758940) is an individual medical provider in Rochester, New York, licensed in New York (017897) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1356758940
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. RYAN PETERSONCredential: PA
Location Address300 CRITTENDEN BLVDRochester, NY 14642-0001
Mailing Address300 Crittenden Blvd, Box PsychRochester, NY 14642-0001 · (585) 276-3700 · Fax (585) 276-1903
Phone(585) 276-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 16, 2014
Last NPPES UpdateOctober 14, 20252 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1356758940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 017897
300 CRITTENDEN BLVD, Rochester, NY 14642
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1470 Long Pond RdRochester, NY 14612-3057 · Phone (585) 227-2600 · Fax (585) 453-7178
Location 265 Genesee StRochester, NY 14611-3201 · Phone (585) 368-3050 · Fax (585) 268-3058
Location 3100 Kings Hwy SRochester, NY 14617-5504 · Phone (585) 922-8353 · Fax (585) 922-0572
Location 41425 Portland Ave, Wilson BuildingRochester, NY 14621 · Phone (585) 338-1200 · Fax (585) 544-1359

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

Mr. Ryan Peterson Pa 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 ID6406077916
PECOS Enrollment IDI20141027002119
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

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.
99 services93 patients

Hospital Affiliations CMS Care Compare

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

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

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.

DR. AILEEN ALDALUR PHD
Psychologist
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-3563
LINDA ALPERT-GILLIS PH.D.
Psychologist
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-6733
LAUREN MUTIGNANI PHD
Psychologist (Clinical Child & Adolescent)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-2100
MARGARET CANDLER
Student in an Organized Health Care Education/Training Program
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-3563
ARJENA VALLS PALACIOS REESE
Student in an Organized Health Care Education/Training Program
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-3563
PETER C. BRITTON PH.D.
Psychologist (Clinical)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-5488
DR. EUGENIO CONTRERAS IV M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-4501
BETH GOLDENBERG NP
Nurse Practitioner
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-6733

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 Ryan Peterson's NPI number?

The NPI number for Ryan Peterson is 1356758940. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Where is Ryan Peterson located?

Ryan Peterson practices at 300 Crittenden Blvd, Rochester, NY 14642. The listed phone number is (585) 276-3700.

What is Ryan Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ryan Peterson enrolled in Medicare?

Yes. Ryan Peterson 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 Ryan Peterson affiliated with any hospitals?

According to CMS data, Ryan Peterson is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Peterson was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.