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MARK WINSBERG MD
NPI 1497769764
Family Medicine - Addiction Medicine in Rochester, NY

Active since July 29, 2006PECOS Enrolled
95.19/100
CMS Quality Rating
1565 LONG POND RD, UNITY PARK RIDGE CHEMICAL DEPENDENCY, ROCHESTER, NY 14626(585) 723-7350(585) 723-7353 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 28, 2021, Feb 25, 2019 (2 updates tracked since 2019).

About Mark Winsberg Md NPPES

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

MARK WINSBERG MD (NPI 1497769764) is an individual addiction medicine provider in Rochester, New York, licensed in New York (187489) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497769764
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameMARK WINSBERGCredential: MD
Location Address1565 LONG POND RD, UNITY PARK RIDGE CHEMICAL DEPENDENCYRochester, NY 14626-4122
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-0553
Phone(585) 723-7350
Fax(585) 723-7353
Sole ProprietorNo
Enumeration DateJuly 29, 2006
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
✔ NPI 1497769764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in NY · 187489
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 187489 (NY)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 187489 (NY)
1565 LONG POND RD, Rochester, NY 14626
Open in Google Maps ↗

Other Identifiers 1

Medicaid02509373NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Winsberg 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

4

Medicare enrollment records show Mark Winsberg reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Unity Hospital Of Rochester
0.2 mi
General Acute Care Hospital
1555 LONG POND RD
Rochester, NY 14626
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1760421713 (585) 723-7000
Rochester General Hospital
0.5 mi
Family Medicine
2350 RIDGEWAY AVE
Rochester, NY 14626
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1356412712 (585) 922-3150
Behavioral Health Network, Inc.
5.1 mi
Mental Health (Including Community Mental Health Center)
490 RIDGE RD E
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 78 clinicians in this Medicare group
NPI 1093812729 (585) 922-2500
Clifton Springs Sanitarium Co
33 mi
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
NPI 1366505463 (315) 462-9561

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14626 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.

95.19/100
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.

MICHELLE LENTINE LCSW
Social Worker (Clinical)
1565 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7723
STEPHANIE SCHUCHART
Counselor (Mental Health)
1565 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7723
ANNE COLTRE LMHC, LCAT
Counselor (Mental Health)
1565 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7723
SANDRA MAYNARD CASAC
Counselor (Mental Health)
1565 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7723
BARBARA GRISSOM
Counselor (Addiction (Substance Use Disorder))
1565 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7723
PATRICIA EHRMENTRAUT BSW, CASAC-T, RC
Counselor (Addiction (Substance Use Disorder))
1565 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7723
REED WOJICK
Counselor (Addiction (Substance Use Disorder))
1565 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7723
PAUL MARVIN CASAC
Counselor (Mental Health)
1565 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7723

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 Mark Winsberg's NPI number?

The NPI number for Mark Winsberg is 1497769764. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Mark Winsberg located?

Mark Winsberg practices at 1565 Long Pond Rd Unity Park Ridge Chemical Dependency, Rochester, NY 14626. The listed phone number is (585) 723-7350.

What is Mark Winsberg's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Mark Winsberg enrolled in Medicare?

Yes. Mark Winsberg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Winsberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Winsberg reassigns Medicare benefits to 4 organizations: The Unity Hospital Of Rochester (Rochester, NY), Rochester General Hospital (Rochester, NY), Behavioral Health Network, Inc. (Rochester, NY) and Clifton Springs Sanitarium Co (Clifton Springs, 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 Mark Winsberg'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 Mark Winsberg was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.