Individual provider Active NPI

Rachel Garner, M.D.

  • Dermatology Physician
  • Ithaca, NY
National Provider Identifier
1063684579
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
255340-1 Issued in NY
Practice address
821 Cliff St Ste 2
Ithaca, NY 14850-2097
Phone
(607) 379-6229
Fax
(607) 379-6218
NPI assigned
Mar 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 255340-1 NY Primary

Addresses

Primary practice location

821 Cliff St Ste 2
Ithaca, NY 14850-2097

Mailing address

821 Cliff St Ste 2
Ithaca, NY 14850-2097
Phone (607) 379-6229

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
I20140121000585 NY Practitioner - Dermatology 8325276389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Dermatology, PLLCGroup PAC ID 9638455447, 2 clinicians

Practice addresses (Care Compare)

821 Cliff St
Suite 2
Ithaca, NY 14850-2097
Phone (607) 379-6229

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions1334
Removal or shaving of skin growth53
Skin biopsy325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255340-1NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cayuga Dermatology, PLLC Dermatology CurrentSince Apr 1, 2017 Accepting new patients

Locations

821 Cliff St
Ste 2
Ithaca, NY 14850
Phone (607) 351-9822

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1063684579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 CLIFF ST STE 2",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502097",
            "telephone_number": "607-379-6229",
            "fax_number": "607-379-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 CLIFF ST STE 2",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502097",
            "telephone_number": "607-379-6229",
            "fax_number": "607-379-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "255340-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.