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JOEL B FONTANAROSA MD
NPI 1669815262
Otolaryngology in Rochester, NY

Active since April 12, 2013PECOS EnrolledAccepts Medicare Assignment
89.35/100
CMS Quality Rating
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 758-5700 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2022, Jun 29, 2018 (2 updates tracked since 2018).

About Joel B Fontanarosa Md NPPES

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

JOEL B FONTANAROSA MD (NPI 1669815262) is an individual otolaryngology provider in Rochester, New York, licensed in New York (324175) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1669815262
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJOEL B FONTANAROSACredential: MD
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address601 Elmwood Ave Box 629Rochester, NY 14642-0001 · (585) 723-9100
Phone(585) 758-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 12, 2013
Last NPPES UpdateJune 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1669815262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NY · 324175
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.
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 300017 (NY)
601 ELMWOOD AVE, Rochester, NY 14642
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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

Joel B Fontanarosa 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 ID6305136326
PECOS Enrollment IDI20190813000906
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 5

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 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.
88 services71 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.
68 services54 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.
63 services49 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.
17 services17 patients
Fine needle aspiration biopsy using ultrasound guidance, first growth 10005
Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330238
Location111 Clara Barton StreetDansville, NY 14437 · Livingston 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 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
$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.

89.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.02
Promoting Interoperability100
Improvement Activities40
Cost74.81

Referred Medical Equipment & Supplies CMS DME claims 9

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

Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers21 claims2,251 services$0.22 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier18 claims2,800 services$0.23 avg. paid by Medicare
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507
DME-Orthotic Devices · category DF000N
3 suppliers30 claims3,342 services$2.41 avg. paid by Medicare
Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each A7508
DME-Orthotic Devices · category DF000N
2 suppliers27 claims2,696 services$2.73 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 claims462 services$4.09 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims329 services$3.88 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.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

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 Joel Fontanarosa's NPI number?

The NPI number for Joel Fontanarosa is 1669815262. It was assigned to this individual provider in the NPPES registry on April 12, 2013.

Where is Joel Fontanarosa located?

Joel Fontanarosa practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 758-5700.

What is Joel Fontanarosa's specialty?

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

Is Joel Fontanarosa enrolled in Medicare?

Yes. Joel Fontanarosa 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 Joel Fontanarosa affiliated with any hospitals?

According to CMS data, Joel Fontanarosa is affiliated with F F Thompson Hospital, Nicholas H Noyes Memorial Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joel Fontanarosa was last updated on June 30, 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.