KELLY KRUPA
NPI 1497109300
Surgery in Rochester, NY

Active since April 17, 2016PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1415 PORTLAND AVE STE 245, ROCHESTER, NY 14621(585) 922-4518(585) 922-3950 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2022, Jul 18, 2022 (2 updates tracked since 2022).

About Kelly Krupa NPPES

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

KELLY KRUPA (NPI 1497109300) is an individual surgery provider in Rochester, New York, licensed in New York (315584) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497109300
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKELLY KRUPA
Location Address1415 PORTLAND AVE STE 245Rochester, NY 14621-3022
Mailing Address320 E North AvePittsburgh, PA 15212-4756 · (412) 359-6907
Fax(585) 922-3950
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 17, 2016
Last NPPES UpdateOctober 13, 20222 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1497109300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 315584
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1415 PORTLAND AVE STE 245, Rochester, NY 14621

Secondary Practice Locations 2

Location 11561 Long Pond Rd Ste 110Rochester, NY 14626-4136 · Phone (585) 922-4715 · Fax (585) 922-3950
Location 2320 E North AvePittsburgh, PA 15212-4756 · Phone (412) 359-6907

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

Kelly Krupa 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 ID8820386741
PECOS Enrollment IDI20220804002363
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

2

Medicare enrollment records show Kelly Krupa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Family Medicine
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 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 2

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.
15 services12 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.
13 services11 patients

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

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

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 14

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

Obstetrics & Gynecology
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Surgery
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Surgery (Surgical Oncology)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Nurse Practitioner (Family)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Nurse Practitioner (Family)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Physician Assistant (Surgical)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Surgery
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Obstetrics & Gynecology (Gynecologic Oncology)
1415 PORTLAND AVE STE 245
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 Kelly Krupa's NPI number?

The NPI number for Kelly Krupa is 1497109300. It was assigned to this individual provider in the NPPES registry on April 17, 2016.

Where is Kelly Krupa located?

Kelly Krupa practices at 1415 Portland Ave Ste 245, Rochester, NY 14621. The listed phone number is (585) 922-4518.

What is Kelly Krupa's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kelly Krupa enrolled in Medicare?

Yes. Kelly Krupa 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 Kelly Krupa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Krupa reassigns Medicare benefits to 2 organizations: Rochester General Hospital (Rochester, NY) and Western New York Medical Practice P.C. (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 Kelly Krupa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelly Krupa affiliated with any hospitals?

According to CMS data, Kelly Krupa is affiliated with Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Krupa was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.