BRIAN DAVID CANNON PA-C
NPI 1689444754
Physician Assistant - Medical in Rochester, NY

Active since January 08, 2024PECOS EnrolledAccepts Medicare Assignment
1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7000 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brian David Cannon Pa-c NPPES

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

BRIAN DAVID CANNON PA-C (NPI 1689444754) is an individual medical provider in Rochester, New York, licensed in New York (030852) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689444754
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBRIAN DAVID CANNONCredential: PA-C
Location Address1555 LONG POND RDRochester, NY 14626-4164
Mailing Address6 Bent Oak RdRochester, NY 14624-3902 · (585) 746-4204
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
NPI 1689444754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 030852
1555 LONG POND RD, Rochester, NY 14626

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

Brian David Cannon Pa-c 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 ID9739522871
PECOS Enrollment IDI20240206002788
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 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

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.

Physician Assistant (Medical)
1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Emergency Medicine
1555 LONG POND RD
ROCHESTER, NY 14626

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 Brian Cannon's NPI number?

The NPI number for Brian Cannon is 1689444754. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Where is Brian Cannon located?

Brian Cannon practices at 1555 Long Pond Rd, Rochester, NY 14626. The listed phone number is (585) 723-7000.

What is Brian Cannon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brian Cannon enrolled in Medicare?

Yes. Brian Cannon 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 Brian Cannon affiliated with any hospitals?

According to CMS data, Brian Cannon is affiliated with Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Brian Cannon was last updated on January 8, 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.