ETHAN O'BRIEN MURDOCK
NPI 1629915681
Nurse Practitioner - Pediatrics in Rochester, NY
About Ethan O'brien Murdock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN O'BRIEN MURDOCK (NPI 1629915681) is an individual pediatrics provider in Rochester, New York, licensed in New York (383940) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ethan O'brien Murdock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ethan Murdock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 211 clinicians in this Medicare group
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 14623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCHESTER, NY 14623
ROCHESTER, NY 14623
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 Ethan Murdock's NPI number?
The NPI number for Ethan Murdock is 1629915681. It was assigned to this individual provider in the NPPES registry on April 29, 2026.
Where is Ethan Murdock located?
Ethan Murdock practices at 200 E River Rd, Rochester, NY 14623. The listed phone number is (585) 275-2808.
What is Ethan Murdock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Ethan Murdock enrolled in Medicare?
Yes. Ethan Murdock is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ethan Murdock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Murdock reassigns Medicare benefits to U Of R Neurology Department (Rochester, NY). The 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 Ethan Murdock'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 Ethan Murdock was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Ethan O'brien Murdock · NPI 1629915681
Pediatrics physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since April 29, 2026.
## Identity
- **NPI:** 1629915681 (Entity type: Individual)
- **Enumerated:** April 29, 2026
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 383940 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 E RIVER RD, Rochester, NY 14623-1212
- **Phone:** (585) 275-2808
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** U Of R Neurology Department (NPI 1184725525, Rochester, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629915681) · Data from the CMS NPPES public registry.