GENNARO MARC POLVERINO MD
NPI 1427145184
Family Medicine in Rochester, NY

Active since October 06, 2006PECOS Enrolled
95.19/100
CMS Quality Rating
30 HAGEN DR STE 300, ROCHESTER, NY 14625(585) 922-0151 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 5, 2023, Nov 19, 2021, Apr 30, 2021 and 1 more (4 updates tracked since 2016).

About Gennaro Marc Polverino Md NPPES

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

GENNARO MARC POLVERINO MD (NPI 1427145184) is an individual family medicine provider in Rochester, New York, licensed in New York (272834) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1427145184
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGENNARO MARC POLVERINOCredential: MD
Location Address30 HAGEN DR STE 300Rochester, NY 14625-2658
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 368-3531 · Fax (585) 368-3747
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateJanuary 13, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1427145184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 272834
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 272834 (NY)
30 HAGEN DR STE 300, Rochester, NY 14625

Secondary Practice Locations 3

Location 165 GENESEE STROCHESTER, NY 14611 · Phone (585) 368-3531 · Fax (585) 368-3747
Location 2100 Sunset DrNewark, NY 14513-1068 · Phone (315) 332-2337 · Fax (315) 332-2702
Location 31208 Driving Park AveNewark, NY 14513-1057 · Phone (315) 359-2640 · Fax (315) 359-2645

Other Identifiers 1

Medicaid03941513NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gennaro Marc Polverino Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Gennaro Polverino reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
2301 LAC DE VILLE BLVD
Rochester, NY 14618
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 clinicians in this Medicare group
Internal Medicine
222 ALEXANDER ST
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
General Acute Care Hospital
100 KINGS HWY S
Rochester, NY 14617
  • Reassigned Medicare billing, New York enrollment
  • 1,442 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

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 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.
12 services12 patients

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
$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.

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

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims24 services$67.37 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 5

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

Family Medicine
30 HAGEN DR STE 300
ROCHESTER, NY 14625
Physician Assistant (Medical)
30 HAGEN DR STE 300
ROCHESTER, NY 14625
Family Medicine
30 HAGEN DR STE 300
ROCHESTER, NY 14625
Registered Nurse (Case Management)
30 HAGEN DR STE 300
ROCHESTER, NY 14625
Family Medicine
30 HAGEN DR STE 300
ROCHESTER, NY 14625

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 Gennaro Polverino's NPI number?

The NPI number for Gennaro Polverino is 1427145184. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Gennaro Polverino located?

Gennaro Polverino practices at 30 Hagen Dr Ste 300, Rochester, NY 14625. The listed phone number is (585) 922-0151.

What is Gennaro Polverino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gennaro Polverino enrolled in Medicare?

Yes. Gennaro Polverino is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gennaro Polverino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gennaro Polverino reassigns Medicare benefits to 3 organizations: Western New York Medical Practice, P.C. (Rochester, NY), Rochester General Hospital (Rochester, NY) and The Unity 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 Gennaro Polverino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gennaro Polverino was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.