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ANTHONY RAGUSA MD
NPI 1962470229
Internal Medicine in Rochester, NY

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
1401 STONE RD, SUITE 200, ROCHESTER, NY 14615(585) 672-4700(585) 672-4700 Get Directions Write a Review

NPPES record last updated: January 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anthony Ragusa Md NPPES

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

ANTHONY RAGUSA MD (NPI 1962470229) is an individual internal medicine provider in Rochester, New York, licensed in New York (NY200136) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1962470229
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANTHONY RAGUSACredential: MD
Location Address1401 STONE RD, SUITE 200Rochester, NY 14615
Mailing Address1401 Stone Rd, Suite 200Rochester, NY 14615 · (585) 672-4700 · Fax (585) 672-4700
Phone(585) 672-4700
Fax(585) 672-4700
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 10, 2006
Last NPPES UpdateJanuary 9, 2022
NPPES CertifiedJanuary 9, 2022
✔ NPI 1962470229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · NY200136✔ Licensed in NY · 200136
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1401 STONE RD, Rochester, NY 14615
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Other Identifiers 2

Other110141246Medicare Rr
Medicaid01665190NY

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

Anthony Ragusa 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 ID5991729410
PECOS Enrollment IDI20090528000463
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 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.
27 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.
26 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 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 14615 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%22 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
95%38 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

MR. G MICHAEL GUBLO CPO
Prosthetist
1401 STONE RD, SUITE 201B
ROCHESTER, NY 14615
Monroe County (585) 663-5860
ADVANCED PROSTHETIC DESIGN LLC
Prosthetic/Orthotic Supplier
1401 STONE RD, SUITE 201B
ROCHESTER, NY 14615
Monroe County (585) 663-5860
DR. SUSAN DANAHY MD
Radiology (Diagnostic Radiology)
1401 STONE RD
ROCHESTER, NY 14615
Monroe County (585) 241-6400
DR. GRAMA SITHARAM JAGADISH M.D
Internal Medicine
1401 STONE RD, SUITE 103
ROCHESTER, NY 14615
Monroe County (585) 663-3720
CARRIE COLES GUBLO P.T.
Physical Therapist
1401 STONE RD, STE 201B
ROCHESTER, NY 14615
Monroe County (585) 663-5860
MR. MICHAEL STUART CHENEY L.C.S.W.
Social Worker (Clinical)
1401 STONE RD, SUITE 300
ROCHESTER, NY 14615
Monroe County (585) 865-3584
ROBERT N KORNFIELD MD PC
Internal Medicine (Gastroenterology)
1401 STONE RD
ROCHESTER, NY 14615
Monroe County (585) 663-8240
WILLIAM J MONTESANO JR. MD
Family Medicine
1401 STONE RD, STE 201
ROCHESTER, NY 14615
Monroe County (585) 865-1110

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 Anthony Ragusa's NPI number?

The NPI number for Anthony Ragusa is 1962470229. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Anthony Ragusa located?

Anthony Ragusa practices at 1401 Stone Rd Suite 200, Rochester, NY 14615. The listed phone number is (585) 672-4700.

What is Anthony Ragusa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anthony Ragusa enrolled in Medicare?

Yes. Anthony Ragusa 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 Anthony Ragusa affiliated with any hospitals?

According to CMS data, Anthony Ragusa is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Ragusa was last updated on January 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.