DAWN MARIE PRUETT M.D.
NPI 1689012080
Family Medicine in Rochester, NY

Active since June 06, 2013PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
454 E BROAD ST STE 100, ROCHESTER, NY 14607(585) 276-7640 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2024, Sep 20, 2017, Sep 11, 2017 (3 updates tracked since 2017).

About Dawn Marie Pruett M.d. NPPES

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

DAWN MARIE PRUETT M.D. (NPI 1689012080) is an individual family medicine provider in Rochester, New York, licensed in New York (283231) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of Oregon Health Sciences University School Of Medicine (2013).

NPPES Registry Identity

NPI1689012080
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDAWN MARIE PRUETTCredential: M.D.
Location Address454 E BROAD ST STE 100Rochester, NY 14607-1724
Mailing Address454 E Broad St Ste 100Rochester, NY 14607-1724 · (585) 276-7640
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2013
Enumeration DateJune 6, 2013
Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
NPI 1689012080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NY · 283231 Licensed in NY · 282231
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
454 E BROAD ST STE 100, Rochester, NY 14607

Other Names 1

Former Name (1)Dawn Marie Pothier

Other Identifiers 1

Medicaid04448371NY

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

Dawn Marie Pruett 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 ID2668798927
PECOS Enrollment IDI20160725000238
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.
74 services57 patients
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.
31 services17 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.
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

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 14607 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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

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

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$209.76 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
454 E BROAD ST STE 100
ROCHESTER, NY 14607
Family Medicine
454 E BROAD ST STE 100
ROCHESTER, NY 14607
Internal Medicine
454 E BROAD ST STE 100
ROCHESTER, NY 14607
Nurse Practitioner (Family)
454 E BROAD ST STE 100
ROCHESTER, NY 14607
Family Medicine
454 E BROAD ST STE 100
ROCHESTER, NY 14607
Family Medicine
454 E BROAD ST STE 100
ROCHESTER, NY 14607
Pharmacist (Ambulatory Care)
454 E BROAD ST STE 100
ROCHESTER, NY 14607

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 Dawn Pruett's NPI number?

The NPI number for Dawn Pruett is 1689012080. It was assigned to this individual provider in the NPPES registry on June 6, 2013. The provider is also known as Dawn Marie Pothier.

Where is Dawn Pruett located?

Dawn Pruett practices at 454 E Broad St Ste 100, Rochester, NY 14607. The listed phone number is (585) 276-7640.

What is Dawn Pruett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dawn Pruett enrolled in Medicare?

Yes. Dawn Pruett 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 Dawn Pruett affiliated with any hospitals?

According to CMS data, Dawn Pruett is affiliated with F F Thompson Hospital, Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Dawn Pruett was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.