Dustin John Fanciullo, MD - Medicare Vascular Surgery in Rochester, NY

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Dustin John Fanciullo, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Rochester, New York. He graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Clifton Springs Sanitarium Co, Canton-potsdam Hospital and his current practice location is 1445 Portland Ave, Suite 108, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at (585) 922-5550.

Dustin John Fanciullo is licensed to practice in New York (license number 252553-1) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013164052.

Contact Information

Dustin John Fanciullo, MD
1445 Portland Ave, Suite 108,
Rochester, NY 14621-3036
(585) 922-5550
(585) 922-0450

Map and Direction




Physician's Profile

Full NameDustin John Fanciullo
GenderMale
SpecialityVascular Surgery
Experience21 Years
Location1445 Portland Ave, Rochester, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dustin John Fanciullo graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1013164052
  • Provider Enumeration Date: 08/21/2008
  • Last Update Date: 07/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0042488041
  • Enrollment ID: I20110719000037

Medical Identifiers

Medical identifiers for Dustin John Fanciullo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013164052NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 252553 (New York)Secondary
2086S0129XSurgery - Vascular Surgery 252553-1 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lifetime Care ChhaRochester, NYHome health agency
Clifton Springs Hospital And ClinicClifton springs, NYHospital
Rochester General HospitalRochester, NYHospital
Newark-wayne Community HospitalNewark, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clifton Springs Sanitarium Co5092704809132
Canton-potsdam Hospital6204827280199

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dustin John Fanciullo allows following entities to bill medicare on his behalf.
Entity NameRochester General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356412712
PECOS PAC ID: 0244149474
Enrollment ID: O20031121000644
Entity NameThe Unity Hospital Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760421713
PECOS PAC ID: 9436060969
Enrollment ID: O20031230000038
Entity NameClifton Springs Sanitarium Co
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366505463
PECOS PAC ID: 5092704809
Enrollment ID: O20040525000569
Entity NameWestern New York Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063790608
PECOS PAC ID: 3870767791
Enrollment ID: O20111110000598

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dustin John Fanciullo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dustin John Fanciullo, MD
1445 Portland Ave, Suite 108,
Rochester, NY 14621-3036

Ph: (585) 922-5550		Dustin John Fanciullo, MD
1445 Portland Ave, Suite 108,
Rochester, NY 14621-3036

Ph: (585) 922-5550

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.