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CONSTANTINOS KETONIS MD, PHD
NPI 1922398205
Orthopaedic Surgery - Hand Surgery in Rochester, NY

Active since April 08, 2011PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
601 ELMWOOD AVE,, BOX 665, ROCHESTER, NY 14642(585) 275-6970(585) 273-3297 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2017, Nov 9, 2017 (2 updates tracked since 2017).

About Constantinos Ketonis Md, Phd NPPES

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

CONSTANTINOS KETONIS MD, PHD (NPI 1922398205) is an individual hand surgery provider in Rochester, New York, licensed in New York (291118) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2011).

NPPES Registry Identity

NPI1922398205
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameCONSTANTINOS KETONISCredential: MD, PHD
Location Address601 ELMWOOD AVE,, BOX 665Rochester, NY 14642
Mailing Address601 Elmwood Ave, Box 665Rochester, NY 14642 · (585) 275-6970 · Fax (585) 273-3297
Phone(585) 275-6970
Fax(585) 273-3297
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2011
Enumeration DateApril 8, 2011
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
✔ NPI 1922398205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in NY · 291118
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 291118 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
601 ELMWOOD AVE,, Rochester, NY 14642
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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

Constantinos Ketonis Md, Phd 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 ID8022240514
PECOS Enrollment IDI20171115000063
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 8

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
130 services34 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.
52 services45 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.
51 services45 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
34 services21 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
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.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

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
$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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.9
Promoting Interoperability100
Improvement Activities40
Cost55.03

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.

AMANDA ELYSE BALSECA LAC
Acupuncturist
601 ELMWOOD AVE,, BOX 665
ROCHESTER, NY 14642
Monroe County (585) 275-5321
DR. JENNIFER LYNN PURKS MD
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE,, NEUROLOGY CLINIC
ROCHESTER, NY 14642
Monroe County (585) 275-1200
DR. SUSAN M MCDOWELL MD
Orthopaedic Surgery
601 ELMWOOD AVE,, BOX 665
ROCHESTER, NY 14642
Monroe County (585) 276-4380
DANIELLE MARIE WILBUR MD
Orthopaedic Surgery (Hand Surgery)
601 ELMWOOD AVE,
ROCHESTER, NY 14642
Monroe County (585) 273-3385

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 Constantinos Ketonis's NPI number?

The NPI number for Constantinos Ketonis is 1922398205. It was assigned to this individual provider in the NPPES registry on April 8, 2011.

Where is Constantinos Ketonis located?

Constantinos Ketonis practices at 601 Elmwood Ave, Box 665, Rochester, NY 14642. The listed phone number is (585) 275-6970.

What is Constantinos Ketonis's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Constantinos Ketonis enrolled in Medicare?

Yes. Constantinos Ketonis 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 Constantinos Ketonis affiliated with any hospitals?

According to CMS data, Constantinos Ketonis is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Constantinos Ketonis was last updated on June 29, 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.