PATRICK TWOHIG
NPI 1407377955
Internal Medicine - Gastroenterology in Rochester, NY

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment
95.52/100
CMS Quality Rating
601 ELMWOOD AVE., BOX MED, ROCHESTER, NY 14642(585) 275-4711(585) 276-0101 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2023, Jul 5, 2017 (2 updates tracked since 2017).

About Patrick Twohig NPPES

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

PATRICK TWOHIG (NPI 1407377955) is an individual gastroenterology provider in Rochester, New York, licensed in New York (321552) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407377955
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePATRICK TWOHIG
Location Address601 ELMWOOD AVE., BOX MEDRochester, NY 14642-0001
Mailing Address601 Elmwood Ave Box MedRochester, NY 14642-0001 · (585) 275-4711
Fax(585) 276-0101
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 5, 2017
Last NPPES UpdateNovember 17, 20232 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
✔ NPI 1407377955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 321552
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
601 ELMWOOD AVE., Rochester, NY 14642

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

Patrick Twohig 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 ID4183990781
PECOS Enrollment IDI20230725002171
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

3

Medicare enrollment records show Patrick Twohig reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology
601 ELMWOOD AVE, BOX MED
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 71 clinicians in this Medicare group
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
Internal Medicine
1000 SOUTH AVE
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 303 clinicians in this Medicare group

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 12

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
37 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 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.
22 services18 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
22 services22 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.
19 services14 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
18 services16 patients

Hospital Affiliations CMS Care Compare 3

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

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 14642 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.

95.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.49
Promoting Interoperability100
Improvement Activities40
Cost76.25

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.

Anesthesiology
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Internal Medicine
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Physician Assistant (Medical)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Physician Assistant
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Nurse Anesthetist, Certified Registered
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Pediatrics (Pediatric Gastroenterology)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Internal Medicine (Cardiovascular Disease)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Psychiatry & Neurology (Psychiatry)
601 ELMWOOD AVE., BOX PSYCH
ROCHESTER, NY 14642

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 Patrick Twohig's NPI number?

The NPI number for Patrick Twohig is 1407377955. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Patrick Twohig located?

Patrick Twohig practices at 601 Elmwood Ave. Box Med, Rochester, NY 14642. The listed phone number is (585) 275-4711.

What is Patrick Twohig's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Patrick Twohig enrolled in Medicare?

Yes. Patrick Twohig 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 Patrick Twohig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Twohig reassigns Medicare benefits to 3 organizations: Gastrointestinal Group (Rochester, NY), University Of Rochester (Rochester, NY) and Highland Hospital 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 Patrick Twohig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Patrick Twohig affiliated with any hospitals?

According to CMS data, Patrick Twohig is affiliated with F F Thompson Hospital, Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Patrick Twohig was last updated on November 17, 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.