ADAM DEREK TENBROEKE NP
NPI 1831730852
Nurse Practitioner - Acute Care in Rochester, NY

Active since October 01, 2019PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-9080(585) 922-4012 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 28, 2021, Feb 24, 2020, Oct 1, 2019 (3 updates tracked since 2019).

About Adam Derek Tenbroeke Np NPPES

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

ADAM DEREK TENBROEKE NP (NPI 1831730852) is an individual acute care provider in Rochester, New York, licensed in New York (431502) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831730852
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameADAM DEREK TENBROEKECredential: NP
Location Address1425 PORTLAND AVERochester, NY 14621-3011
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-9080 · Fax (585) 922-4012
Fax(585) 922-4012
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 1, 2019
Last NPPES UpdateMay 28, 20213 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
✔ NPI 1831730852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · 431502
1425 PORTLAND AVE, Rochester, NY 14621

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

Adam Derek Tenbroeke Np 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 ID3870929003
PECOS Enrollment IDI20200207000465
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

5

Medicare enrollment records show Adam Tenbroeke reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Family Medicine
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 clinicians in this Medicare group
General Acute Care Hospital
100 KINGS HWY S
Rochester, NY 14617
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services23 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

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
$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.

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 20

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

Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621

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 Adam Tenbroeke's NPI number?

The NPI number for Adam Tenbroeke is 1831730852. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Where is Adam Tenbroeke located?

Adam Tenbroeke practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-9080.

What is Adam Tenbroeke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Adam Tenbroeke enrolled in Medicare?

Yes. Adam Tenbroeke 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 Adam Tenbroeke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Tenbroeke reassigns Medicare benefits to 5 organizations: Rochester General Hospital (Rochester, NY), Western New York Medical Practice P.C. (Rochester, NY), The Unity Hospital Of Rochester (Rochester, NY), Newark Wayne Community Hospital (Newark, NY) and Clifton Springs Sanitarium Co (Clifton Springs, 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 Adam Tenbroeke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Adam Tenbroeke affiliated with any hospitals?

According to CMS data, Adam Tenbroeke is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Adam Tenbroeke was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.