DR. ANTHONY J. OCON M.D.
NPI 1932547627
Internal Medicine - Rheumatology in Rochester, NY

Q: What is Anthony Ocon's NPI number?

The NPI number for Anthony Ocon is 1932547627. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Q: What is Anthony Ocon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Ocon was last updated on June 4, 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.

Active since June 05, 2013PECOS EnrolledAccepts Medicare Assignment

95.19/100

CMS Quality Rating

601 ELMWOOD AVENUE BOX MED, ROCHESTER, NY 14642(585) 351-3274 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2021, Jul 2, 2019 (2 updates tracked since 2019).

On this page

About Dr. Anthony J. Ocon M.d. NPPES

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

DR. ANTHONY J. OCON M.D. (NPI 1932547627) is an individual rheumatology provider in Rochester, New York, licensed in New York (284044) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1932547627

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameDR. ANTHONY J. OCONCredential: M.D.

Location Address601 ELMWOOD AVENUE BOX MEDRochester, NY 14642-0002

Mailing AddressUniversity Of Rochester 601 Elmwood Avenue Box MedRochester, NY 14642-0001

Phone(585) 351-3274

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2016

Enumeration DateJune 5, 2013

Last NPPES UpdateJune 4, 20212 updates tracked since enumeration

NPPES CertifiedJune 4, 2021

✔ NPI 1932547627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in NY · 284044

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

601 ELMWOOD AVENUE BOX MED, Rochester, NY 14642

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Secondary Practice Location 1

Location 1222 Alexander St Ste 3000Rochester, NY 14607-4047 · Phone (585) 922-8350 · Fax (585) 922-8355

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

Dr. Anthony J. Ocon M.d. 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 ID9739311051

PECOS Enrollment IDI20210621002628

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.

99 services64 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.

31 services31 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

19 services15 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.

13 services12 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 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.

95.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

70.62

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 9

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

NEIL GUPTA

Internal Medicine (Cardiovascular Disease)