DR. ROBERT J FORTUNA M.D.
NPI 1598870842
Internal Medicine in Rochester, NY

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
913 CULVER RD, ROCHESTER, NY 14609(585) 654-5432(585) 288-7871 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Robert J Fortuna M.d. NPPES

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

DR. ROBERT J FORTUNA M.D. (NPI 1598870842) is an individual internal medicine provider in Rochester, New York, licensed in Massachusetts (229638) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Geisel School Of Medicine At Dartmouth (2002).

NPPES Registry Identity

NPI1598870842
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ROBERT J FORTUNACredential: M.D.
Location Address913 CULVER RDRochester, NY 14609-7141
Mailing Address601 Elmwood Ave, Box 278980Rochester, NY 14642-0001 · Fax (585) 785-9882
Fax(585) 288-7871
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2002
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 6, 2023
NPI 1598870842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 229638
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 247294 (NY)
Also ListedPediatricsTaxonomy 208000000X · License 247294 (NY)
913 CULVER RD, Rochester, NY 14609

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. Robert J Fortuna 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 ID4789682642
PECOS Enrollment IDI20080623000323
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 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.

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.
102 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 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.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

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 14609 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.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.92
Promoting Interoperability100
Improvement Activities40
Cost62.98

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers20 claims35 services$6.55 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers15 claims433 services$4.00 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers21 claims6,833 services$0.30 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
913 CULVER RD
ROCHESTER, NY 14609
Student in an Organized Health Care Education/Training Program
913 CULVER RD
ROCHESTER, NY 14609
Internal Medicine
913 CULVER RD
ROCHESTER, NY 14609
Student in an Organized Health Care Education/Training Program
913 CULVER RD
ROCHESTER, NY 14609
Pediatrics
913 CULVER RD
ROCHESTER, NY 14609
Internal Medicine
913 CULVER RD
ROCHESTER, NY 14609
Social Worker
913 CULVER RD
ROCHESTER, NY 14609
Internal Medicine
913 CULVER RD
ROCHESTER, NY 14609

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 Fortuna's NPI number?

The NPI number for Robert Fortuna is 1598870842. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Robert Fortuna located?

Robert Fortuna practices at 913 Culver Rd, Rochester, NY 14609. The listed phone number is (585) 654-5432.

What is Robert Fortuna's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Robert Fortuna enrolled in Medicare?

Yes. Robert Fortuna 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 Robert Fortuna affiliated with any hospitals?

According to CMS data, Robert Fortuna is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robert Fortuna was last updated on July 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.