Doctor profile · Federal record

Dr. Jordan Evanicki, PA-C

Medical Physician Assistant · Physician Assistant · Rochester, NY

  • NPI 1679974372
  • MIPS 77.2 / 100 · 2023
  • 12 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
601 Elmwood Ave
Rochester, NY 146425647
(585) 275-9555
Mailing address
601 Elmwood Ave Box 655
Rochester, NY 146428655

Credentials & registration

NPPES · NUCC
NPI registered
September 2014 — 12 yrs on file
Profile last updated
August 4, 2025
Specialty taxonomy
363AM0700X — NUCC code
State license (1)
New York #18081

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1679974372. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
13
Distinct HCPCS
1
Medicare allowed
$963
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 13 12 $74

In context: peer comparison

Among 124 peers in this city , average services per provider: 57. This provider delivers 0.2× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Jordan Evanicki's medical specialty?
Dr. Jordan Evanicki practices Medical Physician Assistant in Rochester, NY.
Where does Dr. Jordan Evanicki practice?
Dr. Jordan Evanicki practices at 601 Elmwood Ave, Rochester, NY 146425647. Office phone: 5852759555.
What is Dr. Jordan Evanicki's NPI?
Dr. Jordan Evanicki's National Provider Identifier (NPI) is 1679974372, issued by NPPES.
What procedures does Dr. Jordan Evanicki commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.