EVERETT F PORTER MD
NPI 1851349377
Internal Medicine - Pulmonary Disease in Rochester, NY

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
94.01/100
CMS Quality Rating
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642(585) 275-4861(585) 273-1058 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Everett F Porter Md NPPES

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

EVERETT F PORTER MD (NPI 1851349377) is an individual pulmonary disease provider in Rochester, New York, licensed in New York (227147) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (2000).

NPPES Registry Identity

NPI1851349377
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameEVERETT F PORTERCredential: MD
Location Address601 ELMWOOD AVE, BOX MEDRochester, NY 14642-0001
Mailing Address601 Elmwood Ave, Box MedRochester, NY 14642-0001 · (585) 275-4861 · Fax (585) 273-1058
Fax(585) 273-1058
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2000
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 5, 2023
NPI 1851349377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 227147
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 227147 (NY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 227147 (NY)
601 ELMWOOD AVE, Rochester, NY 14642

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

Everett F Porter 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 ID42289043
PECOS Enrollment IDI20060419000162
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
93 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services27 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.
22 services20 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
18 services18 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

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 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
$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.

94.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.84
Promoting Interoperability100
Improvement Activities40
Cost63.86

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers16 claims16 services$34.58 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers18 claims18 services$81.65 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers23 claims45 services$30.48 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers13 claims13 services$17.89 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers28 claims121 services$2.01 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers28 claims28 services$13.29 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 20

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

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

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 Everett Porter's NPI number?

The NPI number for Everett Porter is 1851349377. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Everett Porter located?

Everett Porter practices at 601 Elmwood Ave Box Med, Rochester, NY 14642. The listed phone number is (585) 275-4861.

What is Everett Porter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Everett Porter enrolled in Medicare?

Yes. Everett Porter 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 Everett Porter affiliated with any hospitals?

According to CMS data, Everett Porter is affiliated with F F Thompson Hospital, Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Everett Porter was last updated on July 5, 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.