NPIMap

Individual provider Active NPI

Christopher Etterle, MD

  • Family Medicine Physician
  • Macedon, NY
National Provider Identifier
1437679289
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
305417 Issued in NY
Practice address
1900 State Route 31
Macedon, NY 14502-8943
Phone
(315) 986-1336
Fax
(315) 986-7208
NPI assigned
Jun 22, 2017
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 305417 NY Primary
Hospitalist Physician 208M00000X 305417 NY

Addresses

Primary practice location

1900 State Route 31
Macedon, NY 14502-8943

Mailing address

1900 State Route 31
Macedon, NY 14502-8943
Phone (315) 986-1336

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christopher.etterle@rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728003081 NY Practitioner - Family Practice 2264857952 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
Clifton Springs Sanitarium CoGroup PAC ID 5092704809, 230 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

1900 State Route 31
Macedon, NY 14502-8943
Phone (315) 986-1336

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-5711

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305417NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Hospitalist CurrentSince Feb 4, 2022 Accepting new patients
Rochester General Hospital CurrentSince Feb 4, 2022 Accepting new patients
Newark Wayne Community Hospital CurrentSince Feb 4, 2022 Accepting new patients
Rochester General Hospital Family Medicine Current Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Jul 27, 2020 Accepting new patients
The Unity Hospital of Rochester CurrentSince Feb 4, 2022 Accepting new patients
United Memorial Medical Center Family Medicine CurrentSince Feb 4, 2022 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Newark Wayne Community Hospital CurrentSince Feb 4, 2022 Accepting new patients
United Memorial Medical Center Current Accepting new patients
Western New York Medical Practice P.C. Family Medicine PastSince Jun 28, 2020 Accepting new patients
Clifton Springs Sanitarium Company Past Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1900 State Route 31
Macedon, NY 14502
Phone (315) 986-1336

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

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

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

Interoperability endpoints

  • Direct secure messaging: cetterle303581@direct.rochesterregional.org

Organizations & group practices 12

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

Hospital & facility affiliations 4

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1437679289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 STATE ROUTE 31",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028943",
            "telephone_number": "315-986-1336",
            "fax_number": "315-986-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 STATE ROUTE 31",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028943",
            "telephone_number": "315-986-1336",
            "fax_number": "315-986-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTERLE",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "305417",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "305417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher.etterle@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1900 State Route 31",
            "city": "Macedon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145028943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macedon, NY

Sources for this page

Verify at the official NPI Registry.