Individual provider Active NPI

M. Gordon Whitbeck Jr., M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Rochester, NY
National Provider Identifier
1316944622
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
167261 Issued in NY
Practice address
2619 Culver Rd
Rochester, NY 14609-1738
Phone
(585) 342-2410
Fax
(585) 342-9141
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 167261 NY
Orthopaedic Surgery of the Spine Physician 207XS0117X 167261 NY Primary

Addresses

Primary practice location

2619 Culver Rd
Rochester, NY 14609-1738

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-0553

Other practice location 1

1200 Driving Park Ave Ste 4
Newark, NY 14513-1090
Phone (315) 359-2696

Other identifiers 1

IdentifierTypeStateIssuer
01422691MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gwhitbeck52156@direct.rochesterregional.org

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050825000244 NY Practitioner - Orthopedic Surgery 6406818905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of Ny Upstate Medical University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2619 Culver Rd
Rochester, NY 14609-1738
Phone (585) 266-0061

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion214
Laminectomy or laminotomy (partial removal of spine bones)82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
167261NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Orthopaedic Surgery CurrentSince Nov 18, 2018 Accepting new patients
Rochester General Hospital Orthopaedic Surgery CurrentSince Nov 18, 2018 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Apr 1, 2015 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 1, 2020 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 1, 2020 Accepting new patients

Locations

1200 Driving Park Ave
Ste 4
Newark, NY 14513
Phone (315) 359-2629

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1415 Portland Ave
Ste 560
Rochester, NY 14621
Phone (585) 342-2410

2619 Culver Rd
Ste 2A
Rochester, NY 14609
Phone (585) 266-0061

2619 Culver Rd
Rochester, NY 14609
Phone (585) 266-0061

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1316944622",
    "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",
            "telephone_number": "585-922-0553",
            "fax_number": "585-922-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 CULVER RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146091738",
            "telephone_number": "585-342-2410",
            "fax_number": "585-342-9141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Driving Park Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131090",
            "country_code": "US",
            "telephone_number": "315-359-2696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITBECK",
        "first_name": "M.",
        "middle_name": "GORDON",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "167261",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "167261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01422691",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gwhitbeck52156@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "1200 Driving Park Ave Ste 4",
            "city": "Newark",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145131090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.