MICHELLE M DUGAN NP
NPI 1912910886
Nurse Practitioner - Family in Rochester, NY

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
81.1/100
CMS Quality Rating
2180 S CLINTON AVE, ROCHESTER, NY 14618(585) 273-1900 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2024, Jul 5, 2023, Mar 27, 2023 (3 updates tracked since 2023).

About Michelle M Dugan Np NPPES

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

MICHELLE M DUGAN NP (NPI 1912910886) is an individual family provider in Rochester, New York, licensed in New York (333246) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with St James Mercy Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1912910886
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE M DUGANCredential: NP
Location Address2180 S CLINTON AVERochester, NY 14618-2665
Mailing Address601 Elmwood Ave Box 670Rochester, NY 14642-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 14, 2006
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
NPI 1912910886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NY · 333246 Licensed in NY · 443303
Also ListedRegistered NurseTaxonomy 163W00000X · License 443303 (NY)
2180 S CLINTON AVE, Rochester, NY 14618

Other Identifiers 1

Medicaid02396156NY

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

Michelle M Dugan 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 ID7810063989
PECOS Enrollment IDI20080915000238
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 4

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.
96 services61 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
20 services18 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
13 services13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

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 14618 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.

81.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.67
Promoting Interoperability100
Improvement Activities40
Cost60.69

Other Providers at the Same Location NPPES 15

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

Physician Assistant
2180 S CLINTON AVE
ROCHESTER, NY 14618
Neurological Surgery
2180 S CLINTON AVE
ROCHESTER, NY 14618
Anesthesiology (Pain Medicine)
2180 S CLINTON AVE
ROCHESTER, NY 14618
Psychiatry & Neurology (Neurology)
2180 S CLINTON AVE
ROCHESTER, NY 14618
Neurological Surgery
2180 S CLINTON AVE
ROCHESTER, NY 14618
Psychologist (Clinical)
2180 S CLINTON AVE
ROCHESTER, NY 14618
Nurse Practitioner (Family)
2180 S CLINTON AVE
ROCHESTER, NY 14618
Physician Assistant
2180 S CLINTON AVE
ROCHESTER, NY 14618

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 Michelle Dugan's NPI number?

The NPI number for Michelle Dugan is 1912910886. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Michelle Dugan located?

Michelle Dugan practices at 2180 S Clinton Ave, Rochester, NY 14618. The listed phone number is (585) 273-1900.

What is Michelle Dugan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Dugan enrolled in Medicare?

Yes. Michelle Dugan 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 Michelle Dugan affiliated with any hospitals?

According to CMS data, Michelle Dugan is affiliated with St James Mercy Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Dugan was last updated on August 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.