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JOHN M CANNON M.D.
NPI 1992790430
Urology in Rochester, NY

Active since September 12, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 33D0876263 · Microscopy
1770 LONG POND RD, SUITE 101, ROCHESTER, NY 14606(585) 244-8110(585) 244-9435 Get Directions Write a Review

NPPES record last updated: August 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John M Cannon M.d. NPPES

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

JOHN M CANNON M.D. (NPI 1992790430) is an individual urology provider in Rochester, New York, licensed in New York (177388) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through September 14, 2027, and is affiliated with Rochester General Hospital.

NPPES Registry Identity

NPI1992790430
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJOHN M CANNONCredential: M.D.
Location Address1770 LONG POND RD, SUITE 101Rochester, NY 14606-4057
Mailing Address1770 Long Pond Rd, Suite 101Rochester, NY 14606-4057 · (585) 244-8110 · Fax (585) 244-9435
Phone(585) 244-8110
Fax(585) 244-9435
Sole ProprietorYes
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1987
Enumeration DateSeptember 12, 2005
Last NPPES UpdateAugust 21, 2008
✔ NPI 1992790430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 177388
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1770 LONG POND RD, Rochester, NY 14606
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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

John M Cannon 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 ID5991707267
PECOS Enrollment IDI20070215000628
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0876263

John M Cannon MD · Rochester, NY
Active · expires Sep 14, 2027
CLIA Number33D0876263
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorJohn M. Cannon
Laboratory Phone(585) 244-8110
Laboratory LocationJohn M Cannon MD1770 Long Pond Road Suite 101, Rochester, NY 14606
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 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.
54 services41 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 services34 patients
Limited ultrasound scan of pelvis 76857
A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.
18 services17 patients
Limited ultrasound scan behind abdominal cavity 76775
A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14606 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims2,400 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,400 services$1.42 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 2

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

TRAN MEDICAL PRACTICE PLLC
Family Medicine
1770 LONG POND RD, SUITE 201
ROCHESTER, NY 14606
Monroe County (585) 247-8460
VU Q TRAN MD
Family Medicine
1770 LONG POND RD, SUITE 201
ROCHESTER, NY 14606
Monroe County (585) 247-8460

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 John Cannon's NPI number?

The NPI number for John Cannon is 1992790430. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is John Cannon located?

John Cannon practices at 1770 Long Pond Rd Suite 101, Rochester, NY 14606. The listed phone number is (585) 244-8110.

What is John Cannon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is John Cannon enrolled in Medicare?

Yes. John Cannon 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.

Does John Cannon hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D0876263) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is John Cannon affiliated with any hospitals?

According to CMS data, John Cannon is affiliated with Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for John Cannon was last updated on August 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.