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MARK W FRAMPTON MD
NPI 1710917877
Internal Medicine - Pulmonary Disease in Rochester, NY

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
94.01/100
CMS Quality Rating
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642(585) 275-4861(585) 273-1058 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark W Frampton Md NPPES

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

MARK W FRAMPTON MD (NPI 1710917877) is an individual pulmonary disease provider in Rochester, New York, licensed in New York (120325) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St James Mercy Hospital, and is a graduate of New York University School Of Medicine (1973).

NPPES Registry Identity

NPI1710917877
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMARK W FRAMPTONCredential: MD
Location Address601 ELMWOOD AVE, BOX MEDRochester, NY 14642-0001
Mailing Address601 Elmwood Ave, Box MedRochester, NY 14642-0001 · (585) 275-4861 · Fax (585) 276-2140
Phone(585) 275-4861
Fax(585) 273-1058
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1973
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 3, 2023
✔ NPI 1710917877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 120325
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 120325 (NY)
601 ELMWOOD AVE, Rochester, NY 14642
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark W Frampton 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 ID1355486119
PECOS Enrollment IDI20100304000021
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 Mark Frampton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Disease Clinical Group
Same address
Pulmonary Disease
601 ELMWOOD AVE, BOX 692
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 72 clinicians in this Medicare group
NPI 1881641652 (585) 273-1123
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
Mary M Parkes Asthma & Pulmonary
4.0 mi
Pulmonary Disease
400 RED CREEK DR, SUITE 110
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 45 clinicians in this Medicare group
NPI 1588610760 (585) 486-0147
St James Hospital
53 mi
Rural
7329 SENECA ROAD NORTH
Hornell, NY 14843
  • Reassigned Medicare billing, New York enrollment
  • 436 clinicians in this Medicare group
NPI 1013985399 (607) 247-2200

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 6

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.

Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
60 services59 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
52 services52 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
43 services42 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
18 services18 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
16 services16 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
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.

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

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
$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.

94.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.84
Promoting Interoperability100
Improvement Activities40
Cost63.86

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 Mark Frampton's NPI number?

The NPI number for Mark Frampton is 1710917877. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Mark Frampton located?

Mark Frampton practices at 601 Elmwood Ave Box Med, Rochester, NY 14642. The listed phone number is (585) 275-4861.

What is Mark Frampton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mark Frampton enrolled in Medicare?

Yes. Mark Frampton 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.

Which organizations bill Medicare for Mark Frampton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Frampton reassigns Medicare benefits to 4 organizations: Pulmonary Disease Clinical Group (Rochester, NY), University Of Rochester (Rochester, NY), Mary M Parkes Asthma & Pulmonary (Rochester, NY) and St James Hospital (Hornell, 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 Mark Frampton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mark Frampton affiliated with any hospitals?

According to CMS data, Mark Frampton is affiliated with St James Mercy Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mark Frampton was last updated on July 3, 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.