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DANIELLE MARIE WILBUR MD
NPI 1972739829
Orthopaedic Surgery - Hand Surgery in Rochester, NY

Active since June 05, 2009PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
601 ELMWOOD AVE,, ROCHESTER, NY 14642(585) 273-3385(585) 275-4057 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Danielle Marie Wilbur Md NPPES

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

DANIELLE MARIE WILBUR MD (NPI 1972739829) is an individual hand surgery provider in Rochester, New York, licensed in New York (280741) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of State University Of Ny Upstate Medical University (2009).

NPPES Registry Identity

NPI1972739829
Entity TypeIndividualFemale
Primary Taxonomy207XS0106X
Provider Legal NameDANIELLE MARIE WILBURCredential: MD
Location Address601 ELMWOOD AVE,Rochester, NY 14642
Mailing Address601 Elmwood Ave, Box 665Rochester, NY 14642 · (585) 273-3385 · Fax (585) 275-4057
Phone(585) 273-3385
Fax(585) 275-4057
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2009
Enumeration DateJune 5, 2009
Last NPPES UpdateMay 15, 2023
✔ NPI 1972739829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in NY · 280741
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 Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 280741 (NY)
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

Danielle Marie Wilbur 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 ID42433245
PECOS Enrollment IDI20150930000460
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 7

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.
150 services59 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.
99 services67 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
91 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.
51 services50 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.
47 services28 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.
24 services24 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

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers13 claims13 services$41.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
CONSTANTINOS KETONIS MD, PHD
Orthopaedic Surgery (Hand Surgery)
601 ELMWOOD AVE,, BOX 665
ROCHESTER, NY 14642
Monroe County (585) 275-6970

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 Danielle Wilbur's NPI number?

The NPI number for Danielle Wilbur is 1972739829. It was assigned to this individual provider in the NPPES registry on June 5, 2009.

Where is Danielle Wilbur located?

Danielle Wilbur practices at 601 Elmwood Ave,, Rochester, NY 14642. The listed phone number is (585) 273-3385.

What is Danielle Wilbur's specialty?

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

Is Danielle Wilbur enrolled in Medicare?

Yes. Danielle Wilbur 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 Danielle Wilbur affiliated with any hospitals?

According to CMS data, Danielle Wilbur is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Danielle Wilbur was last updated on May 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.