Shannon Derose, RPA-C
Surgical Physician Assistant · Rochester, NY
Shannon Derose, RPA-C is a surgical physician assistant with a practice address in Rochester, New York, and NPI 1407004898, issued on Aug 28, 2008. Check the license (New York 012694, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shannon Derose
- Credential
- RPA-C
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- 012694 NY
Self-reported in NPPES; status is on the state search - Practice location
- 125 Red Creek Dr Ste 205, Rochester, NY 14623
- Phone
- (585) 723-7600
- Enumerated
- Aug 28, 2008
- Record last updated
- Sep 14, 2022
- Fax
- (585) 334-6373
- Medicaid ID
- 03607632 NY
- Medicare enrollment
- Enrolled (PECOS I20081212000056); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 2,152 in New York → Look up another NPI →
Verify Shannon Derose in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 012694Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The MIPS final score for 2023 (Medicare payment program): 95.2 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
2 hospitals and group practices
- Rochester General HospitalRochester, NY · Acute Care Hospitals2 of 5 stars
- Western New York Medical Practice PCRochester, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Shannon Derose among 2,152 surgical physician assistant records in New York
Shannon Derose, RPA-C is one of 2,152 surgical physician assistant records with a practice address in New York. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 34% of them.
- NPI issued2008 · 34% of these records are older, 60% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated2008 · median 2012 among the 1,293 with a school on file
- Record last updated2022 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Physician Assistant providers in New York
There are 2,152 surgical physician assistant records in New York.
All 2,152 in New York → Every provider in Rochester → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- Heather Allerton, RPACRochester, NY 146231235211384
- Daniel Barney, RPA-CRochester, NY 146231306878038
- Claudia Blair, PARochester, NY 146231982376323
- Abby Goergen, PARochester, NY 146231851736060
- Jocelyn Harrington, RPA-CRochester, NY 146231427381441
- Beth Paull, RPA-CRochester, NY 146231316965130
- Samantha Ramos, RPA-CRochester, NY 146231356779342
- Ayubu AloyceRochester, NY 146211245157528
Common questions
What is Shannon Derose, RPA-C's NPI number?
Shannon Derose, RPA-C's National Provider Identifier (NPI) is 1407004898, issued on Aug 28, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Shannon Derose, RPA-C located?
The NPPES record lists a practice address at 125 Red Creek Dr Ste 205, Rochester, NY, 14623. Phone: (585) 723-7600. Providers update this record themselves, so call before visiting.
How can I verify Shannon Derose, RPA-C's license?
NPPES lists New York license number 012694, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
What is Shannon Derose, RPA-C's MIPS final score?
The 2023 MIPS final score is 95.2 of 100. 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.