NPPES file of Aug 9, 2026

James W. Breton, RPAC

Physician Assistant · Rochester, NY

James W. Breton, RPAC is a physician assistant with a practice address in Rochester, New York, and NPI 1497780746, issued on Jul 12, 2006. Check the license (New York 7458, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1497780746
Name
James W. Breton
Credential
RPAC
Primary taxonomy
Physician Assistant 363A00000X
License number
7458 NY
Self-reported in NPPES; status is on the state search
Practice location
30 Hagen Dr, Rochester, NY 14625
Phone
(585) 295-5314
Enumerated
Jul 12, 2006
Record last updated
Jul 5, 2023
Fax
(585) 248-2112
Medicare enrollment
Enrolled (PECOS I20100407000641); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 30 Hagen Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Diana Chaddock, RN, NPAdult Health Nurse Practitioner1144497983
  2. Marlene Etlinger, RPACPhysician Assistant1275502718
  3. Patricia Fitzpatrick, M.D.Cardiovascular Disease Physician1801863691
  4. Thomas Frosini, RPACPhysician Assistant1316972326
  5. Gerald Gacioch, M.D.Cardiovascular Disease Physician1740257534
  6. Lawrence Gage, M.D.Cardiovascular Disease Physician1093782807

Verify James W. Breton in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 7458
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 80.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score68.9
  2. Costout of 100 · 30%55.0
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. University OF Rochester Orthopaedic Oncology DivisionRochester, NY
  2. University Orthopaedic Associates OF RochesterRochester, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James W. Breton among 15,555 physician assistant records in New York

James W. Breton, RPAC is one of 15,555 physician assistant records with a practice address in New York. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 1% of them.

  • NPI issued2006 · 1% of these records are older, 87% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 52% of these records are
  • Graduated1999 · median 2018 among the 8,158 with a school on file
  • Record last updated2023 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

630 physician assistant records list a practice address in Rochester

They are 630 of the 20,520 NPPES records with a practice address in Rochester, and 15,555 physician assistant records in New York.

The 8 physician assistant records with the nearest ZIP codes

  1. Dennis Bender, PARochester, NY 146251386602605
  2. Aaron Bishop, RPA-CRochester, NY 146251013958701
  3. Michelle Cilento, RPA-CRochester, NY 146251548299316
  4. Sarah CosentinoRochester, NY 146251417439209
  5. Mark Cottle, RPA CRochester, NY 146251215962246
  6. Alexis DzusRochester, NY 146251467017285
  7. Marlene Etlinger, RPACRochester, NY 146251275502718
  8. Thomas Frosini, RPACRochester, NY 146251316972326

Common questions

What is James W. Breton, RPAC's NPI number?

James W. Breton, RPAC's National Provider Identifier (NPI) is 1497780746, issued on Jul 12, 2006. An NPI identifies a provider in billing; it is not a license.

Where is James W. Breton, RPAC located?

The NPPES record lists a practice address at 30 Hagen Dr, Rochester, NY, 14625. Phone: (585) 295-5314. Providers update this record themselves, so call before visiting.

How can I verify James W. Breton, RPAC's license?

NPPES lists New York license number 7458, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

What is James W. Breton, RPAC's MIPS final score?

The 2023 MIPS final score is 80.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.