DR. MARC SEAN LAVENDER M.D.
NPI 1730191297
Internal Medicine in Rochester, NY

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
809 E RIDGE RD, ROCHESTER, NY 14621(585) 341-3600(585) 266-3169 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Marc Sean Lavender M.d. NPPES

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

DR. MARC SEAN LAVENDER M.D. (NPI 1730191297) is an individual internal medicine provider in Rochester, New York, licensed in New York (242815) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Ohio State University College Of Medicine (2004).

NPPES Registry Identity

NPI1730191297
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARC SEAN LAVENDERCredential: M.D.
Location Address809 E RIDGE RDRochester, NY 14621-1710
Mailing Address601 Elmwood Ave, Box 278980Rochester, NY 14642-0001
Fax(585) 266-3169
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2004
Enumeration DateAugust 13, 2006
Last NPPES UpdateJuly 6, 2023
NPI 1730191297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 242815
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 242815 (NY)
809 E RIDGE RD, Rochester, NY 14621

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

Dr. Marc Sean Lavender 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 ID2769535228
PECOS Enrollment IDI20090730000377
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 2024 & 2026 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, 30-39 minutes 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.
50 services25 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
17 services14 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 2

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

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 14621 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.

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.

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims7,161 services$0.29 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 2

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

Family Medicine
809 E RIDGE RD
ROCHESTER, NY 14621
Nurse Practitioner
809 E RIDGE RD
ROCHESTER, NY 14621

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730191297, enumerated as an "individual" on August 13, 2006.

The provider is located at 809 E RIDGE RD ROCHESTER, NY 14621 and the phone number is (585) 341-3600.

Internal Medicine with taxonomy code 207R00000X.

Marc Lavender is affiliated with: HIGHLAND HOSPITAL and STRONG MEMORIAL HOSPITAL.