Ryan Peterson, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

017897 Issued in NY

Practice address

300 Crittenden Blvd
Rochester, NY 14642-0001

Phone

(585) 276-3700

NPI assigned

Jul 16, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

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

University of Rochester Department of Psychiatry Clinical GroupGroup PAC ID 3173420429, 80 clinicians

Practice addresses (Care Compare)

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rpeterson86401@direct.urmc.rochester.edu

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.

• University of Rochester Department of Psychiatry Clinical Group

  • Psychiatry Physician
  • Rochester, NY
  • NPI 1326088808

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Western New York Medical Practice P.C.

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1063790608
  Medicare reassignment Care Compare group 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
• University of Rochester Urgent Care

  • Urgent Care Clinic/Center
  • Rochester, NY
  • NPI 1700260395
  Medicare reassignment
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1255360517
  NPD
• Rochester General Hospital

  • Internal Medicine Physician
  • Sodus, NY
  • NPI 1821163718
  NPD
• The Unity Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1457395766
  NPD
• Western New York Medical Practice P.C

  • Urgent Care Clinic/Center
  • Rochester, NY
  • NPI 1154834877
  NPD

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1356758940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CRITTENDEN BLVD",
            "address_2": "BOX PSYCH",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-276-3700",
            "fax_number": "585-276-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CRITTENDEN BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-276-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146123057",
            "country_code": "US",
            "telephone_number": "585-227-2600",
            "fax_number": "585-453-7178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146113201",
            "country_code": "US",
            "telephone_number": "585-368-3050",
            "fax_number": "585-268-3058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Kings Hwy S",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146175504",
            "country_code": "US",
            "telephone_number": "585-922-8353",
            "fax_number": "585-922-0572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Portland Ave",
            "address_2": "Wilson Building",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14621",
            "country_code": "US",
            "telephone_number": "585-338-1200",
            "fax_number": "585-544-1359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-16",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "017897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan.peterson@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1425 Portland Ave",
            "address_2": "Wilson Building",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John R Peterson, DDS
• Kimberly A Peterson, MD
• Komekia Peterson
• Michael Lamont Peterson, R.N.
• Nicholas D Peterson, MD
• Sarah Ashley Peterson, LPN
• Todd Peterson, ATC, PTA
• Trica L. Peterson, PH.D.
• Cynthia Petit, NP
• Petite Pals Speech Therapy

• Medical Physician Assistant in Rochester, NY
• Providers in Rochester, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.