Doctor profile · Federal record

Dr. Paul Blackcloud, M.D.

Dermatology Physician (CMS: Dermatology) · Certified Registered Nurse Anesthetist · Rochester, NY

  • NPI 1417319187
  • Accepts Medicare
  • MIPS 73.3 / 100 · 2023
  • 10 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
40 Celebration Dr
Rochester, NY 146202664
(585) 275-7546
Mailing address
601 Elmwood Ave Box 278797
Rochester, NY 146425631

Credentials & registration

NPPES · NUCC
NPI registered
March 2016 — 10 yrs on file
Profile last updated
July 7, 2023
Year of graduation
2016 — 10 yrs since
Specialty taxonomy
207N00000X — NUCC code
State license (1)
New York #309252

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1417319187. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
897
Distinct HCPCS
10
Medicare allowed
$35,227
HCPCS Description Services Patients Avg allowed
17003 Destruction of precancer skin growth, 2-14 growths 178 41 $2
99213 Established patient office or other outpatient visit, 20-29 minutes 160 134 $64
17003 Destruction of precancer skin growth, 2-14 growths 135 29 $2
99213 Established patient office or other outpatient visit, 20-29 minutes 95 90 $64
17000 Destruction of precancer skin growth, 1 growth 63 54 $50
11102 Biopsy of related skin growth, first growth 44 41 $27
17000 Destruction of precancer skin growth, 1 growth 38 37 $47
99214 Established patient office or other outpatient visit, 30-39 minutes 38 34 $95
17110 Destruction of skin growth, 1-14 growths 35 33 $64
17110 Destruction of skin growth, 1-14 growths 22 21 $65

In context: peer comparison

Among 19 peers in Rochester Dermatology Physician, average services per provider: 81. This provider delivers 11× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
57
Patients
41
Total drug cost
$1,412
Drug Type Claims Patients Total cost
Ketoconazole Generic 34 22 $1,098
Triamcinolone Acetonide Generic 23 19 $314

Frequently asked questions

Auto-generated from federal data
What is Dr. Paul Blackcloud's medical specialty?
Dr. Paul Blackcloud practices Dermatology Physician in Rochester, NY.
Where does Dr. Paul Blackcloud practice?
Dr. Paul Blackcloud practices at 40 Celebration Dr, Rochester, NY 146202664. Office phone: 5852757546.
What is Dr. Paul Blackcloud's NPI?
Dr. Paul Blackcloud's National Provider Identifier (NPI) is 1417319187, issued by NPPES.
Does Dr. Paul Blackcloud accept Medicare assignment?
Yes. Dr. Paul Blackcloud accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Paul Blackcloud commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Established patient office or other outpatient visit (HCPCS 99213); Destruction of precancer skin growth, 2-14 growths (HCPCS 17003). Source: CMS Medicare Physician & Other Practitioners file.