DR. JONATHAN REDDITT D.M.D
NPI 1467835777
Dentist - Oral and Maxillofacial Surgery in Rochester, NY

Active since July 06, 2015PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1455 E RIDGE RD, ROCHESTER, NY 14621(585) 922-4103(585) 922-4495 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 10, 2023, May 29, 2020 (2 updates tracked since 2020).

About Dr. Jonathan Redditt D.m.d NPPES

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

DR. JONATHAN REDDITT D.M.D (NPI 1467835777) is an individual oral and maxillofacial surgery provider in Rochester, New York, licensed in New York (060970) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467835777
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JONATHAN REDDITTCredential: D.M.D
Location Address1455 E RIDGE RDRochester, NY 14621-2006
Mailing Address1455 E Ridge RdRochester, NY 14621-2006 · (585) 922-4103 · Fax (585) 922-4495
Fax(585) 922-4495
Sole ProprietorNo
Medical School CMSCase Western University School Of Dental MedicineGraduated 2015
Enumeration DateJuly 6, 2015
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
NPI 1467835777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NY · 060970
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1455 E RIDGE RD, Rochester, NY 14621

Secondary Practice Locations 2

Location 12060 Fairport Nine Mile Point RdPenfield, NY 14526-1749 · Phone (585) 377-5810 · Fax (585) 377-1121
Location 21425 Portland AveRochester, NY 14621-3011 · Phone (585) 922-4103 · Fax (585) 922-4495

Accepted 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

Dr. Jonathan Redditt D.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 ID5496170193
PECOS Enrollment IDI20200728003604
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.

Hospital Affiliations CMS Care Compare 2

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

Clifton Springs Hospital And Clinic

Acute Care Hospitals · Clifton Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330265
Location2 Coulter RoadClifton Springs, NY 14432 · Ontario County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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

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.

Student in an Organized Health Care Education/Training Program
1455 E RIDGE RD
ROCHESTER, NY 14621
Nurse Practitioner (Adult Health)
1455 E RIDGE RD
ROCHESTER, NY 14621
Dentist
1455 E RIDGE RD
ROCHESTER, NY 14621
Nurse Practitioner (Family)
1455 E RIDGE RD
ROCHESTER, NY 14621
Family Medicine
1455 E RIDGE RD
ROCHESTER, NY 14621
Counselor (Mental Health)
1455 E RIDGE RD
ROCHESTER, NY 14621
Pharmacist (Ambulatory Care)
1455 E RIDGE RD
ROCHESTER, NY 14621
Nurse Practitioner (Family)
1455 E RIDGE RD
ROCHESTER, NY 14621

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 Jonathan Redditt's NPI number?

The NPI number for Jonathan Redditt is 1467835777. It was assigned to this individual provider in the NPPES registry on July 6, 2015.

Where is Jonathan Redditt located?

Jonathan Redditt practices at 1455 E Ridge Rd, Rochester, NY 14621. The listed phone number is (585) 922-4103.

What is Jonathan Redditt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jonathan Redditt enrolled in Medicare?

Yes. Jonathan Redditt 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 Jonathan Redditt accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jonathan Redditt 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 Jonathan Redditt affiliated with any hospitals?

According to CMS data, Jonathan Redditt is affiliated with Rochester General Hospital and Clifton Springs Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Jonathan Redditt was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.