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COLLEEN FOGARTY MD, MSC.
NPI 1801816954
Family Medicine in Rochester, NY

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
322 LAKE AVE, ROCHESTER, NY 14608(585) 254-6480(585) 254-1092 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Colleen Fogarty Md, Msc. NPPES

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

COLLEEN FOGARTY MD, MSC. (NPI 1801816954) is an individual family medicine provider in Rochester, New York, licensed in New York (193267) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of University Of Connecticut School Of Medicine (1992).

NPPES Registry Identity

NPI1801816954
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCOLLEEN FOGARTYCredential: MD, MSC.
Location Address322 LAKE AVERochester, NY 14608-1017
Mailing Address480 Genesee StRochester, NY 14611-3634 · (585) 254-6480 · Fax (585) 254-1092
Phone(585) 254-6480
Fax(585) 254-1092
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1992
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 3, 2023
✔ NPI 1801816954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 193267
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
322 LAKE AVE, Rochester, NY 14608
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Other Identifiers 4

OtherP010193267NY · Blue Choice Rochester
Other102744BFNY · Preferred Care
Medicaid193267NY
OtherP010193267NY · Blue Cross Rochester

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

Colleen Fogarty Md, Msc. 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 ID143219824
PECOS Enrollment IDI20040507001242
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.

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.
29 services22 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 14608 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.

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

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.

ANTHONY L. JORDAN HEALTH CORPORATION
Clinic/Center (Federally Qualified Health Center (FQHC))
322 LAKE AVE, BROWN SQUARE CENTER
ROCHESTER, NY 14608
Monroe County (585) 254-6480
SHEILA JOHNSTON R.D.H.
Dental Hygienist
322 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 254-6480
HMB PHARMACY MANAGEMENT LLC
Pharmacy (Community/Retail Pharmacy)
322 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 254-6480
KYLE ANDREWS
Physician Assistant
322 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 254-6480
LOUISE B BENNETT M.D.
Family Medicine
322 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 254-6480
SHAWN FELLOWS PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
322 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 721-8032
HEIDI ZINKAND M.D.
Family Medicine
322 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 254-6480
MR. NICHOLAS ENSINGER ANTOS MD
Family Medicine
322 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 254-6480

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 Colleen Fogarty's NPI number?

The NPI number for Colleen Fogarty is 1801816954. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Colleen Fogarty located?

Colleen Fogarty practices at 322 Lake Ave, Rochester, NY 14608. The listed phone number is (585) 254-6480.

What is Colleen Fogarty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Colleen Fogarty enrolled in Medicare?

Yes. Colleen Fogarty 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 Colleen Fogarty affiliated with any hospitals?

According to CMS data, Colleen Fogarty is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Colleen Fogarty 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.