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KATIE PAVLISKO P.A.
NPI 1831224575
Physician Assistant - Medical in Rochester, NY

Active since February 22, 2007PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
2250 BRIGHTON HENRIETTA TOWN LINE RD, ROCHESTER, NY 14623(585) 424-6770(585) 424-6776 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2022, Jun 11, 2021 (2 updates tracked since 2021).

About Katie Pavlisko P.a. NPPES

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

KATIE PAVLISKO P.A. (NPI 1831224575) is an individual medical provider in Rochester, New York, licensed in New York (020659) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in West Hollywood.

NPPES Registry Identity

NPI1831224575
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATIE PAVLISKOCredential: P.A.
Location Address2250 BRIGHTON HENRIETTA TOWN LINE RDRochester, NY 14623-2706
Mailing Address2250 Brighton Henrietta Town Line RdRochester, NY 14623-2706 · (585) 424-6770 · Fax (585) 424-6776
Phone(585) 424-6770
Fax(585) 424-6776
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2005
Enumeration DateFebruary 22, 2007
Last NPPES UpdateDecember 22, 20222 updates tracked since enumeration
NPPES CertifiedDecember 22, 2022
✔ NPI 1831224575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 020659
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA17955 (CA)
2250 BRIGHTON HENRIETTA TOWN LINE RD, Rochester, NY 14623
Open in Google Maps ↗

Secondary Practice Location 1

Location 18737 Beverly Blvd Ste 303West Hollywood, CA 90048-1839 · Phone (310) 659-6889 · Fax (310) 657-3841

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

Katie Pavlisko P.a. 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 ID42373003
PECOS Enrollment IDI20171122002256
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.

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.
52 services41 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
44 services14 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
27 services23 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.
23 services23 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
22 services18 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

SIMON ANTONIO HERNANDEZ MD
Dermatology
2250 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER, NY 14623
Monroe County (854) 246-7705
JEANETTE R ZAMBITO MD
Dermatology
2250 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER, NY 14623
Monroe County (585) 424-6770
ABBY GOERGEN PA
Physician Assistant (Surgical)
2250 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER, NY 14623
Monroe County (585) 424-6770
FREDERIKA A PADULO
Nurse Practitioner (Family)
2250 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER, NY 14623
Monroe County (585) 424-6770

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 Katie Pavlisko's NPI number?

The NPI number for Katie Pavlisko is 1831224575. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Katie Pavlisko located?

Katie Pavlisko practices at 2250 Brighton Henrietta Town Line Rd, Rochester, NY 14623. The listed phone number is (585) 424-6770.

What is Katie Pavlisko's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Katie Pavlisko enrolled in Medicare?

Yes. Katie Pavlisko 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 Katie Pavlisko affiliated with any hospitals?

According to CMS data, Katie Pavlisko is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Katie Pavlisko was last updated on December 22, 2022. 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.