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DR. SUSAN M MCDOWELL MD
NPI 1750549143
Orthopaedic Surgery in Rochester, NY

Active since June 02, 2008PECOS EnrolledAccepts Medicare Assignment
88.67/100
CMS Quality Rating
601 ELMWOOD AVE,, BOX 665, ROCHESTER, NY 14642(585) 276-4380(585) 276-1322 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 9, 2017, Jun 16, 2016 (2 updates tracked since 2016).

About Dr. Susan M Mcdowell Md NPPES

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

DR. SUSAN M MCDOWELL MD (NPI 1750549143) is an individual orthopaedic surgery provider in Rochester, New York, licensed in Minnesota (60283) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Indiana University School Of Medicine (2007).

NPPES Registry Identity

NPI1750549143
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameDR. SUSAN M MCDOWELLCredential: MD
Location Address601 ELMWOOD AVE,, BOX 665Rochester, NY 14642
Mailing Address601 Elmwood Ave, Box 665Rochester, NY 14642 · (585) 276-4380 · Fax (585) 276-1322
Phone(585) 276-4380
Fax(585) 276-1322
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2007
Enumeration DateJune 2, 2008
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
✔ NPI 1750549143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in MN · 60283✔ Licensed in NY · 290340✔ Licensed in IN · 01070450A
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
601 ELMWOOD AVE,, Rochester, NY 14642
Open in Google Maps ↗

Other Identifiers 1

Other0001867912Ein

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. Susan M Mcdowell 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 ID8527205475
PECOS Enrollment IDI20171205001749
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 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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
764 services763 patients
Technical calculation of trabecular bone score (tbs) 77091
The Trabecular Bone Score (TBS) is a diagnostic method used to assess your bone health. It uses images from a type of X-ray called a DXA scan to analyze the quality of your bones. This helps predict the risk of fractures.
64 services64 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
54 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients
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.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330238
Location111 Clara Barton StreetDansville, NY 14437 · Livingston 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 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

88.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.97
Promoting Interoperability100
Improvement Activities40
Cost75.59

Other Providers at the Same Location NPPES 4

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

AMANDA ELYSE BALSECA LAC
Acupuncturist
601 ELMWOOD AVE,, BOX 665
ROCHESTER, NY 14642
Monroe County (585) 275-5321
DR. JENNIFER LYNN PURKS MD
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE,, NEUROLOGY CLINIC
ROCHESTER, NY 14642
Monroe County (585) 275-1200
CONSTANTINOS KETONIS MD, PHD
Orthopaedic Surgery (Hand Surgery)
601 ELMWOOD AVE,, BOX 665
ROCHESTER, NY 14642
Monroe County (585) 275-6970
DANIELLE MARIE WILBUR MD
Orthopaedic Surgery (Hand Surgery)
601 ELMWOOD AVE,
ROCHESTER, NY 14642
Monroe County (585) 273-3385

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 Susan Mcdowell's NPI number?

The NPI number for Susan Mcdowell is 1750549143. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is Susan Mcdowell located?

Susan Mcdowell practices at 601 Elmwood Ave, Box 665, Rochester, NY 14642. The listed phone number is (585) 276-4380.

What is Susan Mcdowell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Susan Mcdowell enrolled in Medicare?

Yes. Susan Mcdowell 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 Susan Mcdowell affiliated with any hospitals?

According to CMS data, Susan Mcdowell is affiliated with Highland Hospital, Nicholas H Noyes Memorial Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Susan Mcdowell was last updated on June 29, 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.