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NICOLE RUBIN MD
NPI 1952765489
Obstetrics & Gynecology - Gynecologic Oncology in Rochester, NY

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1415 PORTLAND AVE STE 245, ROCHESTER, NY 14621(585) 922-4496(585) 922-4442 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Rubin Md NPPES

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

NICOLE RUBIN MD (NPI 1952765489) is an individual gynecologic oncology provider in Rochester, New York, licensed in New York (324370) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1952765489
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameNICOLE RUBINCredential: MD
Location Address1415 PORTLAND AVE STE 245Rochester, NY 14621-3022
Mailing Address1415 Portland Ave Ste 245Rochester, NY 14621-3022 · (585) 922-4496 · Fax (585) 922-4442
Phone(585) 922-4496
Fax(585) 922-4442
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1952765489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in NY · 324370
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 169331 (CA)
1415 PORTLAND AVE STE 245, Rochester, NY 14621
Open in Google Maps ↗

Secondary Practice Location 1

Location 14860 Y St Ste 2500Sacramento, CA 95817-2307 · Phone (916) 734-6938 · Fax (916) 734-6047

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Rubin 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 ID1456645365
PECOS Enrollment IDI20231004003201
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Nicole Rubin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rochester General Hospital
0.1 mi
General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1063531929 (585) 922-4000
The Unity Hospital Of Rochester
1.0 mi
General Acute Care Hospital
100 KINGS HWY S
Rochester, NY 14617
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1457395766 (585) 922-1900
Clifton Springs Sanitarium Co
28 mi
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
NPI 1366505463 (315) 462-9561
United Memorial Medical Center
32 mi
Family Medicine
127 NORTH ST
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1669747085 (585) 343-6030

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
28 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 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.
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.

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

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 14621 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
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
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

DR. LUXUE DENG MD
Obstetrics & Gynecology
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Monroe County (585) 922-4496
EVA WALL MD
Surgery
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Monroe County (585) 922-4518
DR. DANIEL M. TUVIN MD
Surgery (Surgical Oncology)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Monroe County (585) 922-5973
YVONNE HARRISON FNP
Nurse Practitioner (Family)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Monroe County (585) 922-4715
LICEMEE MBAMA-MPOLO
Nurse Practitioner (Family)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Monroe County (585) 922-4496
MS. KRISTIE KEENE PA
Physician Assistant (Surgical)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Monroe County (585) 922-4715
EMILY KLOSTERMAN DO
Surgery
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Monroe County (585) 922-4715
KELLY KRUPA
Surgery
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Monroe County (585) 922-4518

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 Nicole Rubin's NPI number?

The NPI number for Nicole Rubin is 1952765489. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Nicole Rubin located?

Nicole Rubin practices at 1415 Portland Ave Ste 245, Rochester, NY 14621. The listed phone number is (585) 922-4496.

What is Nicole Rubin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Nicole Rubin enrolled in Medicare?

Yes. Nicole Rubin 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.

Which organizations bill Medicare for Nicole Rubin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Rubin reassigns Medicare benefits to 4 organizations: Rochester General Hospital (Rochester, NY), The Unity Hospital Of Rochester (Rochester, NY), Clifton Springs Sanitarium Co (Clifton Springs, NY) and United Memorial Medical Center (Batavia, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Rubin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicole Rubin affiliated with any hospitals?

According to CMS data, Nicole Rubin is affiliated with United Memorial Medical Center and Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Rubin was last updated on September 28, 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.