BERTHOLLET M BAVIBIDILA MD
NPI 1609834415
Internal Medicine in Rochester, NY

Q: What is Berthollet Bavibidila's NPI number?

The NPI number for Berthollet Bavibidila is 1609834415. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Q: What is Berthollet Bavibidila's specialty?

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

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment

95.19/100

CMS Quality Rating

1425 PORTLAND AVE, WILSON BLDG, ROCHESTER, NY 14621(585) 338-1400 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2022, Apr 26, 2021, Apr 17, 2019 and 1 more (4 updates tracked since 2018).

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About Berthollet M Bavibidila Md NPPES

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

BERTHOLLET M BAVIBIDILA MD (NPI 1609834415) is an individual internal medicine provider in Rochester, New York, licensed in New York (203530) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1609834415

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameBERTHOLLET M BAVIBIDILACredential: MD

Location Address1425 PORTLAND AVE, WILSON BLDGRochester, NY 14621

Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-0553

Phone(585) 338-1400

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateMay 2, 2006

Last NPPES UpdateAugust 19, 20224 updates tracked since enumeration

NPPES CertifiedAugust 18, 2022

✔ NPI 1609834415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 203530

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.

1425 PORTLAND AVE, Rochester, NY 14621

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Other Identifiers 9

Other00027212601NY · Univera

Other11121577NY · Caqh

Other110242022NY · Medicare Railroad

OtherP010203530NY · Blue Choice

Medicaid00355266NY

Other101660BJNY · Preferred Care

Other1245NY · Sidney Hillman

Other051006000001NY · Fidelis

Other0414023NY · Iha

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

Berthollet M Bavibidila 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 ID3971642919

PECOS Enrollment IDI20091203000523

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 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 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.

192 services108 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

20 services19 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

$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

Quality

70.62

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

2 suppliers16 claims61 services$7.25 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

2 suppliers16 claims16 services$2.94 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

2 suppliers15 claims31 services$1.24 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.

DR. NIAZ AHMED D.D.S.

Dentist

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-4000

DR. BRIAN JOHN THOMAS D.O.

Anesthesiology

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-4159

LISA NICOLE FRONCZAK PA-C

Physician Assistant

1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621

Monroe County (585) 922-4000

ANDREW ROTANDO DO

Emergency Medicine

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-3469

ALEXANDER VAZZANO MD

Emergency Medicine

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-4638

AMY BODROG MD

Internal Medicine (Hematology)

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-4020

NUMRA ASLAM BAJWA MD

Hospitalist

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-5067

DR. PRAKASH UPRETI MD

Hospitalist

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (295) 029-8769

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 Berthollet Bavibidila's NPI number?

The NPI number for Berthollet Bavibidila is 1609834415. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Berthollet Bavibidila located?

Berthollet Bavibidila practices at 1425 Portland Ave Wilson Bldg, Rochester, NY 14621. The listed phone number is (585) 338-1400.

What is Berthollet Bavibidila's specialty?

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

Is Berthollet Bavibidila enrolled in Medicare?

Yes. Berthollet Bavibidila 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 Berthollet Bavibidila affiliated with any hospitals?

According to CMS data, Berthollet Bavibidila is affiliated with Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Berthollet Bavibidila was last updated on August 19, 2022. 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.