Active NPI
Richard Terry, DO
- Family Medicine Physician
- Elmira, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 179447
- Practice address
- 200 Madison Ave
2B
Elmira, NY 14901-3218 - Phone
- (607) 732-1310
- Fax
- (607) 733-0940
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 179447 | NY | Primary |
Addresses
Primary practice location
200 Madison Ave
2B
Elmira, NY 14901-3218
Mailing address
571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01184463 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Madison Ave
Suite 2B
Elmira, NY 14901-3219
Phone (607) 732-1310
Hospital & facility affiliations
- Arnot Ogden Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 46.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179447 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Arnot Medical Services PLLC | Family Medicine | Current | Accepting new patients |
| Nutrition Network | Past | Accepting new patients | |
| Battisti CSW Network PLLC | Past | Accepting new patients |
Locations
571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050
571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050
600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161
200 Madison Ave
Ste 2B
Elmira, NY 14901
Phone (607) 732-1310
200 Madison Ave
Ste 2C
Elmira, NY 14901
Phone (607) 737-4339
600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639
Interoperability endpoints
- richard.terry@arn.eclinicaldirectplus.com
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Arnot Ogden Medical Center | Hospital | Corporate Director | Mar 1, 2023 |
| Arnot Ogden Medical Center | Hospital | Corporate Director (6.67%) | Mar 1, 2023 |
| Arnot Ogden Medical Center | Hospital | Corporate Director | Mar 1, 2023 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rehabilitation Hospital Unit
- Elmira, NY
- NPI 1518998855
Corporate Director
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- Community/Retail Pharmacy
- Elmira, NY
- NPI 1831875004
-
- Clinical Social Worker
- Binghamton, NY
- NPI 1396911897
-
- Registered Dietitian
- Binghamton, NY
- NPI 1407054091
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1013900430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 SAINT JOSEPHS BLVD FL 2",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013230",
"telephone_number": "607-271-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MADISON AVE",
"address_2": "2B",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013218",
"telephone_number": "607-732-1310",
"fax_number": "607-733-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "RICHARD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "179447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01184463",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.