Individual provider Active NPI

Brian Patrick Watkins, MD

  • Surgery Physician
  • Newark, NY
National Provider Identifier
1558343152
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
239602 Issued in NY
Practice address
1200 Driving Park Ave Ste 2
Newark, NY 14513-1090
Phone
(315) 359-2670
Fax
(315) 359-2675
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 42614 WI
Surgery Physician 208600000X 239602 NY Primary

Addresses

Primary practice location

1200 Driving Park Ave Ste 2
Newark, NY 14513-1090

Mailing address

360 Linden Oaks
Suite #300
Rochester, NY 14625-2814
Phone (585) 383-8830

Other practice location 1

360 Linden Oaks
Suite #300
Rochester, NY 14625-2814
Phone (585) 383-8830 ext. 309

Other practice location 2

875 Pre Emption Rd
Geneva, NY 14456-2042
Phone (315) 359-2670

Other practice location 3

4 Coulter Rd Ste 2605
Clifton Springs, NY 14432-1122
Phone (315) 462-2636

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bwatkins25543@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
I20061018000051 NY Practitioner - General Surgery 0244208544 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Wisconsin, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
Clifton Springs Sanitarium CoGroup PAC ID 5092704809, 230 clinicians

Practice addresses (Care Compare)

1415 Portland Ave
Rochester, NY 14621-3038
Phone (585) 922-0390

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)12
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital Surgery CurrentSince Jun 20, 2016 Accepting new patients
Newark Wayne Community Hospital CurrentSince Oct 1, 2020 Accepting new patients
Western New York Medical Practice P.C. Surgery CurrentSince Jun 20, 2016 Accepting new patients
Newark Wayne Community Hospital Current Accepting new patients
Rochester General Hospital CurrentSince Jun 20, 2016 Accepting new patients
St James Hospital CurrentSince Jul 1, 2018 Accepting new patients

Locations

4 Coulter Rd
Ste 2605
Clifton Springs, NY 14432
Phone (315) 462-2636

875 Pre Emption Rd
Geneva, NY 14456
Phone (315) 789-5061

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

1200 Driving Park Ave
Ste 2
Newark, NY 14513
Phone (315) 359-2660

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

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

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

1415 Portland Ave
Ste 155
Rochester, NY 14621
Phone (585) 342-0140

360 Linden Oaks
Ste 130
Rochester, NY 14625

360 Linden Oaks
Ste 300
Rochester, NY 14625
Phone (585) 383-8830

1415 Portland Ave
Rochester, NY 14621
Phone (585) 275-7741

1561 Long Pond Rd
Ste 220
Rochester, NY 14626
Phone (585) 368-3506

Interoperability endpoints

  • Direct secure messaging: bwatkins25543@direct.rochesterregional.org

Organizations & group practices 8

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 3

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1558343152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 LINDEN OAKS",
            "address_2": "SUITE #300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252814",
            "telephone_number": "585-383-8830",
            "fax_number": "585-383-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 DRIVING PARK AVE STE 2",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131090",
            "telephone_number": "315-359-2670",
            "fax_number": "315-359-2675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Linden Oaks",
            "address_2": "Suite #300",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252814",
            "country_code": "US",
            "telephone_number": "585-383-8830 x309",
            "fax_number": "585-383-8918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 Pre Emption Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144562042",
            "country_code": "US",
            "telephone_number": "315-359-2670",
            "fax_number": "315-359-2675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Coulter Rd Ste 2605",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-2636",
            "fax_number": "315-462-2638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "BRIAN",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "42614",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "239602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwatkins25543@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "360 Linden Oaks",
            "address_2": "Suite #300",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146252814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

Verify at the official NPI Registry.