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JASON MICHAEL ROTOLI MD
NPI 1689816795
Emergency Medicine in Rochester, NY

Active since April 03, 2009PECOS Enrolled
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642(585) 275-9555 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jason Michael Rotoli Md NPPES

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

JASON MICHAEL ROTOLI MD (NPI 1689816795) is an individual emergency medicine provider in Rochester, New York, licensed in New York (258301) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689816795
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJASON MICHAEL ROTOLICredential: MD
Location Address601 ELMWOOD AVE, BOX 655Rochester, NY 14642-8655
Mailing Address601 Elmwood Ave, Box 655Rochester, NY 14642-8655 · (585) 275-9555
Phone(585) 275-9555
Sole ProprietorYes
Enumeration DateApril 3, 2009
Last NPPES UpdateJuly 6, 2023
✔ NPI 1689816795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 258301
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
601 ELMWOOD AVE, Rochester, NY 14642
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Michael Rotoli Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jason Rotoli reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Associates - University Of Rochester
Same address
Emergency Care
601 ELMWOOD AVE, BOX 655
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 197 clinicians in this Medicare group
NPI 1346281268 (585) 341-3015
Observation Associates Of The University Of Rochester
Same address
Multi-Specialty
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 124 clinicians in this Medicare group
NPI 1518908433 (585) 758-7650
University Of Rochester
Same address
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1346285657 (585) 275-2100
University Of Rochester Urgent Care
2.8 mi
Urgent Care
1300 JEFFERSON RD, SUITE 100
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 112 clinicians in this Medicare group
NPI 1700260395 (585) 413-1800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
45 services43 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
37 services35 patients

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
$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.

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 Jason Rotoli's NPI number?

The NPI number for Jason Rotoli is 1689816795. It was assigned to this individual provider in the NPPES registry on April 3, 2009.

Where is Jason Rotoli located?

Jason Rotoli practices at 601 Elmwood Ave Box 655, Rochester, NY 14642. The listed phone number is (585) 275-9555.

What is Jason Rotoli's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jason Rotoli enrolled in Medicare?

Yes. Jason Rotoli is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jason Rotoli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Rotoli reassigns Medicare benefits to 4 organizations: Emergency Associates - University Of Rochester (Rochester, NY), Observation Associates Of The University Of Rochester (Rochester, NY), University Of Rochester (Rochester, NY) and University Of Rochester Urgent Care (Rochester, NY). Each 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 Jason Rotoli'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 Jason Rotoli was last updated on July 6, 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.