Individual provider Active NPI

Fern J. Thomas, M.D.

  • Psychiatry Physician
  • Oneonta, NY
National Provider Identifier
1063401792
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
199660 Issued in NY
Practice address
531 Southside Dr
Suite 2
Oneonta, NY 13820-3211
Phone
(607) 436-9030
Fax
(607) 436-9031
NPI assigned
Oct 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 199660 NY Primary

Addresses

Primary practice location

531 Southside Dr
Suite 2
Oneonta, NY 13820-3211

Mailing address

531 Southside Dr
Suite 2
Oneonta, NY 13820-3211
Phone (607) 436-9030

Other identifiers 5

IdentifierTypeStateIssuer
7336432OtherGHI
02265992MedicaidNY
393599OtherMVP
488858OtherVALUE OPTIONS
10067574OtherCDPHP

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429001443 NY Practitioner - Psychiatry 6608863659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albany Medical College of Union University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware CountyGroup PAC ID 1254327380, 9 clinicians

Practice addresses (Care Compare)

243 Delaware St
Walton, NY 13856-1019
Phone (607) 832-5888

Merit-based Incentive Payment System (MIPS)

Final score
96.41 of 100Reported as group
Quality
90.71
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
199660NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County CurrentSince Oct 24, 2015 Accepting new patients
Delaware County CurrentSince Oct 24, 2015 Accepting new patients

Locations

1 Hospital Rd
Walton, NY 13856
Phone (607) 832-5888

243 Delaware St
Walton, NY 13856
Phone (607) 832-5888

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063401792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 SOUTHSIDE DR",
            "address_2": "SUITE 2",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138203211",
            "telephone_number": "607-436-9030",
            "fax_number": "607-436-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 SOUTHSIDE DR",
            "address_2": "SUITE 2",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138203211",
            "telephone_number": "607-436-9030",
            "fax_number": "607-436-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "FERN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "199660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7336432",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02265992",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "393599",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "488858",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10067574",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.