LAURENCE IRWIN SUGARMAN MD
NPI 1811932809
Pediatrics in Rochester, NY

NPI Status: Active since June 17, 2006

Contact Information

103 WHITE SPRUCE BLVD
ROCHESTER, NY
ZIP 14623
Phone: (585) 292-5830
Fax: (585) 429-2584

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  • Individual
  • Male
  • Pediatrics
  • PECOS Enrolled

About LAURENCE SUGARMAN

This page provides the complete NPI Profile along with additional information for Laurence Sugarman, a pediatrician established in Rochester, New York with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1811932809 assigned on June 2006. The practitioner's primary taxonomy code is 208000000X with license number 159792 (NY). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1811932809
Provider Name
LAURENCE IRWIN SUGARMAN MD
Gender
Male
Entity Type
Individual
Location Address
103 WHITE SPRUCE BLVD ROCHESTER, NY 14623
Location Phone
(585) 292-5830
Location Fax
(585) 429-2584
Mailing Address
103 WHITE SPRUCE BLVD ROCHESTER, NY 14623
Mailing Phone
(585) 292-5830
Mailing Fax
(585) 429-2584
Is Sole Proprietor?
No
Enumeration Date
06-17-2006
Last Update Date
10-15-2008
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A pediatrician like Laurence Sugarman is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
159792
License State
NY
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
101076DLOTHER (01)NYPREFERRED CARE # PEDS
MDJ303OTHER (01)NYPREFERRED CARE # FOR BH
159792-1WOTHER (01)NYWORKERS COMP #
P010159792OTHER (01)NYBLUE CHOICE #

Medicare Participation & PECOS Enrollment Status

Laurence Sugarman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 14623 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.93
  • Minimum New Patient Price $54.87
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.08
  • Minimum Established Patient Price $17.54
  • Maximum Established Patient Price $136.14
  • Average Established Patient Copayment $24.27
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for LAURENCE IRWIN SUGARMAN MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1811932809
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2821183480
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 1 + 8 + 3 + 4 + 8 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1811932809 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487714960DR. JOHN FRANCIS ERHART MD
Individual
Psychiatry & Neurology (Psychiatry)103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 292-5830
1881747020 JOHN THOMASSEN PHD
Individual
Psychologist103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 292-5830
1750434163 ERIC BERENDS
Individual
Speech-Language Pathologist103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 292-5830
1497882005MS. ERIN LYNDSAY MCKANE M.S. SLP
Individual
Speech-Language Pathologist103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 292-5830
1760609341 GIANINE BURGO NPP
Individual
Nurse Practitioner (Psychiatric/Mental Health)103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 292-5831
1730393786MR. ROBERT HENRY RICE JR. M.S., LMHC, PH.D.CD
Individual
Counselor (Mental Health)103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 957-9204
1215124540 WENDY DUNHAM
Individual
Occupational Therapist103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 292-5830
1134442833MRS. AMY ELIZABETH TORO LCSW
Individual
Social Worker (Clinical)103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 292-5830
1275848061MS. BONNIE KAPLAN MHC
Individual
Counselor (Mental Health)103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 292-5830
1508911488MS. AMY ELIZABETH GOLDBERG F.N.P.
Individual
Nurse Practitioner (Family)103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 957-9237
1720475163 HILARY PEREZ LMSW
Individual
Social Worker103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 292-5830
1154791556MS. DAWN MARIE BALSIS LMSW
Individual
Social Worker103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 292-5830
1598120834EASTER SEALS NEW YORK, INC.
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 957-5922
1043670664MELVIN ZAX INC
Organization
Psychologist103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 957-9235
1205852753EASTER SEALS NEW YORK, INC
Organization
Counselor (Mental Health)103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 292-5830
1093143786 RESHAE VANDERZWAN LCPC
Individual
Counselor (Mental Health)103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 957-9206
1215437520 MARTA CRISTINA WATSON RN
Individual
Registered Nurse (General Practice)103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 957-9234
1013411008 HIMLER P NERESTANT
Individual
Counselor (Mental Health)103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 957-9233
1518464049 ALLISON CUBITT LMSW
Individual
Social Worker103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 957-9234
1225520125 CARALYN MANDER LMSW
Individual
Social Worker103 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
(585) 957-9234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811932809, enumerated in the NPI registry as an "individual" on June 17, 2006

The provider is located at 103 White Spruce Blvd Rochester, Ny 14623 and the phone number is (585) 292-5830

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $84.93 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.08 and an average copayment of 24.27. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.