KATRINA BUCKLAEW PA
NPI 1881202158
Physician Assistant - Medical in Rochester, NY

Active since July 22, 2020PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-4000 Get Directions Write a Review

NPPES record last updated: January 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2026, Jan 18, 2022, Aug 27, 2020 and 1 more (4 updates tracked since 2020).

About Katrina Bucklaew Pa NPPES

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

KATRINA BUCKLAEW PA (NPI 1881202158) is an individual medical provider in Rochester, New York, licensed in New York (025254) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1881202158
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATRINA BUCKLAEWCredential: PA
Location Address1425 PORTLAND AVERochester, NY 14621-3011
Mailing Address1425 Portland AveRochester, NY 14621-3011
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 22, 2020
Last NPPES UpdateJanuary 25, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2026
NPI 1881202158 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 · 025254
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 025254 (NY)
1425 PORTLAND AVE, Rochester, NY 14621

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

Katrina Bucklaew Pa 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 ID1355760760
PECOS Enrollment IDI20201005002506
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 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.
20 services20 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 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 Katrina Bucklaew's NPI number?

The NPI number for Katrina Bucklaew is 1881202158. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Where is Katrina Bucklaew located?

Katrina Bucklaew practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-4000.

What is Katrina Bucklaew's specialty?

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

Is Katrina Bucklaew enrolled in Medicare?

Yes. Katrina Bucklaew 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 Katrina Bucklaew affiliated with any hospitals?

According to CMS data, Katrina Bucklaew is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Katrina Bucklaew was last updated on January 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.