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ROBERT ADAM HERBSTSOMER MD
NPI 1528622305
Psychiatry & Neurology - Psychiatry in Rochester, NY

Active since April 26, 2019PECOS EnrolledAccepts Medicare Assignment
80.29/100
CMS Quality Rating
300 CRITTENDEN BLVD, ROCHESTER, NY 14642(585) 275-6917(585) 276-2292 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 3, 2023, Apr 26, 2019 (2 updates tracked since 2019).

About Robert Adam Herbstsomer Md NPPES

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

ROBERT ADAM HERBSTSOMER MD (NPI 1528622305) is an individual psychiatry provider in Rochester, New York, licensed in New York (316885) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (2018).

NPPES Registry Identity

NPI1528622305
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameROBERT ADAM HERBSTSOMERCredential: MD
Location Address300 CRITTENDEN BLVDRochester, NY 14642-0001
Mailing Address300 Crittenden BlvdRochester, NY 14642-0001 · (585) 275-6917 · Fax (585) 276-2292
Phone(585) 275-6917
Fax(585) 276-2292
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2018
Enumeration DateApril 26, 2019
Last NPPES UpdateJuly 3, 20232 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
✔ NPI 1528622305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 316885
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
300 CRITTENDEN BLVD, Rochester, NY 14642
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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

Robert Adam Herbstsomer 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 ID9537498274
PECOS Enrollment IDI20230712003926
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 Robert Herbstsomer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Rochester Department Of Psychiatry Clinical Group
Same address
Psychiatry
300 CRITTENDEN BLVD
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1326088808 (585) 275-6733
University Of Rochester
0.2 mi
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1346285657 (585) 275-2100

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services11 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services22 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.
25 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
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.

80.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.76
Promoting Interoperability100
Improvement Activities40
Cost30.21

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.

DR. AILEEN ALDALUR PHD
Psychologist
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-3563
LINDA ALPERT-GILLIS PH.D.
Psychologist
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-6733
LAUREN MUTIGNANI PHD
Psychologist (Clinical Child & Adolescent)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-2100
MARGARET CANDLER
Student in an Organized Health Care Education/Training Program
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-3563
ARJENA VALLS PALACIOS REESE
Student in an Organized Health Care Education/Training Program
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-3563
PETER C. BRITTON PH.D.
Psychologist (Clinical)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-5488
DR. EUGENIO CONTRERAS IV M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-4501
BETH GOLDENBERG NP
Nurse Practitioner
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-6733

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 Robert Herbstsomer's NPI number?

The NPI number for Robert Herbstsomer is 1528622305. It was assigned to this individual provider in the NPPES registry on April 26, 2019.

Where is Robert Herbstsomer located?

Robert Herbstsomer practices at 300 Crittenden Blvd, Rochester, NY 14642. The listed phone number is (585) 275-6917.

What is Robert Herbstsomer's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Robert Herbstsomer enrolled in Medicare?

Yes. Robert Herbstsomer 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 Robert Herbstsomer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Herbstsomer reassigns Medicare benefits to 2 organizations: University Of Rochester Department Of Psychiatry Clinical Group (Rochester, NY) and University 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 Robert Herbstsomer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Robert Herbstsomer affiliated with any hospitals?

According to CMS data, Robert Herbstsomer is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robert Herbstsomer was last updated on July 3, 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.