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MR. PAUL TOPF MD
NPI 1528024874
Otolaryngology in Rochester, NY

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1295 PORTLAND AVENUE, SUITE 7, ROCHESTER, NY 14621(585) 266-7560(585) 266-7916 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2021, Apr 20, 2021 (2 updates tracked since 2021).

About Mr. Paul Topf Md NPPES

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

MR. PAUL TOPF MD (NPI 1528024874) is an individual otolaryngology provider in Rochester, New York, licensed in New York (182118) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1984).

NPPES Registry Identity

NPI1528024874
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMR. PAUL TOPFCredential: MD
Location Address1295 PORTLAND AVENUE, SUITE 7Rochester, NY 14621
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 266-7560 · Fax (585) 266-7916
Phone(585) 266-7560
Fax(585) 266-7916
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1984
Enumeration DateApril 25, 2006
Last NPPES UpdateMay 21, 20212 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
✔ NPI 1528024874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NY · 182118
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1295 PORTLAND AVENUE, Rochester, NY 14621
Open in Google Maps ↗

Other Identifiers 3

Other0181925590Blue Choice
Medicaid01191271NY
OtherMDG377Preferred Care

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

Mr. Paul Topf Md 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 ID1153329420
PECOS Enrollment IDI20061121000081
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.

Areas of Expertise CMS Part B claims 6

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.
40 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
24 services23 patients
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.
24 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

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
$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
$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

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
58%227 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

MRS. KELLY REID-WALDOCK NP
Nurse Practitioner (Family)
1295 PORTLAND AVENUE, SUITE 7
ROCHESTER, NY 14621
Monroe County (585) 266-7560
GREATER ROCHESTER EAR NOSE & THROAT LLC
Otolaryngology
1295 PORTLAND AVENUE, SUITE 7
ROCHESTER, NY 14621
Monroe County (585) 266-7560

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 Paul Topf's NPI number?

The NPI number for Paul Topf is 1528024874. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Paul Topf located?

Paul Topf practices at 1295 Portland Avenue Suite 7, Rochester, NY 14621. The listed phone number is (585) 266-7560.

What is Paul Topf's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Paul Topf enrolled in Medicare?

Yes. Paul Topf 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.

Is Paul Topf affiliated with any hospitals?

According to CMS data, Paul Topf is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Paul Topf was last updated on May 21, 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.