Sydney Lorraine Peacock, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

027684 Issued in NY

Practice address

2685 E Henrietta Rd
Henrietta, NY 14467-9370

Phone

(585) 444-0058

NPI assigned

Nov 5, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sydney Lorraine Kraeger Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rochester General Hospital Hospital, Rochester, NY, CCN 330125
• United Memorial Medical Center Hospital, Batavia, NY, CCN 330073

Merit-based Incentive Payment System (MIPS)

Final score

96.62 of 100Reported as apm

Quality

74.51

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Western New York Medical Practice P.C.

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1063790608
  Medicare reassignment Care Compare group NPD
• United Memorial Medical Center

  • General Acute Care Hospital
  • Batavia, NY
  • NPI 1902800352
  Medicare reassignment NPD
• Rochester General Hospital

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1356412712
  Medicare reassignment
• The Unity Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1760421713
  Medicare reassignment
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1255360517
  NPD
• The Unity Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1457395766
  NPD
• United Memorial Medical Center

  • Family Medicine Physician
  • Batavia, NY
  • NPI 1669747085
  NPD
• Western New York Medical Practice P.C

  • Optician
  • Pittsford, NY
  • NPI 1871157503
  NPD
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1063531929
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• United Memorial Medical Center

  • Hematology & Oncology Physician
  • Batavia, NY
  • NPI 1508260704

  Hospital

  Care Compare affiliation
• United Memorial Medical Center

  • Family Medicine Physician
  • Batavia, NY
  • NPI 1669747085

  Hospital

  Care Compare affiliation
• United Memorial Medical Center

  • General Acute Care Hospital
  • Batavia, NY
  • NPI 1902800352
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1184389975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 E HENRIETTA RD",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679370",
            "telephone_number": "585-444-0058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Penfield Rd",
            "address_purpose": "LOCATION",
            "city": "Penfield",
            "state": "NY",
            "postal_code": "145261711",
            "country_code": "US",
            "telephone_number": "585-388-5280",
            "fax_number": "585-338-5282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4302 Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "NY",
            "postal_code": "144549449",
            "country_code": "US",
            "telephone_number": "585-295-6760",
            "fax_number": "585-243-6681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14611",
            "country_code": "US",
            "telephone_number": "585-368-3531",
            "fax_number": "585-368-3767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-338-1200",
            "fax_number": "585-544-1359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8103 Oak Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140201092",
            "country_code": "US",
            "telephone_number": "585-815-6715",
            "fax_number": "585-344-5410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3170 Chili Ave Ste T1A",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146245452",
            "country_code": "US",
            "telephone_number": "585-571-2025",
            "fax_number": "585-571-2044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Canandaigua Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144562015",
            "country_code": "US",
            "telephone_number": "315-210-1331",
            "fax_number": "315-332-6264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1881 Monroe Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146181902",
            "country_code": "US",
            "telephone_number": "585-613-3099",
            "fax_number": "585-241-9483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145802952",
            "country_code": "US",
            "telephone_number": "585-872-2273",
            "fax_number": "585-872-2275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2745 W Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146263038",
            "country_code": "US",
            "telephone_number": "585-225-5252",
            "fax_number": "585-225-5256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "SYDNEY",
        "middle_name": "LORRAINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skraeger355321@direct.rochesterregional.org",
            "affiliation": "N",
            "endpointDescription": "Rochester Regional Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Rochester Regional Health",
            "address_1": "2685 E Henrietta Rd",
            "city": "Henrietta",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144679370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "KRAEGER",
            "middle_name": "LORRAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Northern Star Medical Billing & Collections
• Kristine Marie Nowak, RN
• Lindsay Marie O'Connor
• Joan Ochaya, RN
• Lyria Ochaya
• Hannah Kate Peck, OTR/L
• Daniel E Phillips, D.D.S.
• Torlanda Poindexter, DPT
• Diane Elizabeth Potter
• Yamilka Quirindongo

• Physician Assistant in Henrietta, NY
• Providers in Henrietta, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.