Individual provider Active NPI

David Hauerstock, M.D.

  • Radiation Oncology Physician
  • Malone, NY
National Provider Identifier
1063746964
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
271064 Issued in NY
Practice address
133 Park St
Malone, NY 12953-1244
Phone
(518) 483-3000
NPI assigned
Sep 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X 003694 NY
Radiation Oncology Physician 2085R0001X 271064 NY Primary

Addresses

Primary practice location

133 Park St
Malone, NY 12953-1244

Mailing address

172 River Rd
Potsdam, NY 13676-3101
Phone (315) 244-8775

Other practice location 1

50 LeRoy St
Potsdam, NY 13676-1786
Phone (315) 261-5890

Other practice location 2

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

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
I20110127001060 NY Practitioner - Radiation Oncology 9931388592 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alice Hyde Medical CenterGroup PAC ID 4082525837, 88 clinicians
Great Lakes Physician PCGroup PAC ID 9133434269, 65 clinicians
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians
Champlain Valley Physicians Hospital Medical CenterGroup PAC ID 2769396878, 356 clinicians

Practice addresses (Care Compare)

133 Park St
Malone, NY 12953-1243
Phone (518) 481-2545

3850 Saunders Settlement Rd
Sanborn, NY 14132-9128
Phone (716) 898-2800

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

Hospital & facility affiliations

  • Canton-Potsdam Hospital Hospital, Potsdam, NY, CCN 330197
  • The University of Vermont Health Network-Alice Hy Hospital, Malone, NY, CCN 331321
  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
  • Carthage Area Hospital, Inc Hospital, Ogdensburg, NY, CCN 331324
  • SLHS Massena, Inc Hospital, Massena, NY, CCN 331322

Merit-based Incentive Payment System (MIPS)

Final score
98.56 of 100Reported as apm
Quality
87.76
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271064NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Canton-Potsdam Hospital CurrentSince Oct 6, 2010 Accepting new patients
Great Lakes Physician, PC Radiation Oncology CurrentSince Jan 11, 2019 Accepting new patients
Canton-Potsdam Hospital CurrentSince Oct 6, 2010 Accepting new patients
United Medical Associates, P.C. CurrentSince Jun 17, 2021 Accepting new patients
Alice Hyde Medical Center CurrentSince Dec 26, 2024 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Jul 1, 2025 Accepting new patients
United Medical Associates PC CurrentSince Jun 17, 2021 Accepting new patients
Great Lakes Physician, PC Radiation Oncology CurrentSince Jan 11, 2019 Accepting new patients
Canton Potsdam Hospital Past Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

3085 Harlem Rd
Ste 200
Cheektowaga, NY 14225
Phone (716) 844-5000

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

3850 Saunders Settlement Rd
Sanborn, NY 14132
Phone (716) 898-2800

Interoperability endpoints

  • Direct secure messaging: dhauerstock471469@direct.uvmhealth.org

Organizations & group practices 12

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 5

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": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1063746964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 RIVER RD",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763101",
            "telephone_number": "315-244-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PARK ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531244",
            "telephone_number": "518-483-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 LeRoy St",
            "address_purpose": "LOCATION",
            "city": "Potsdam",
            "state": "NY",
            "postal_code": "136761786",
            "country_code": "US",
            "telephone_number": "315-261-5890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Beekman St",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129011438",
            "country_code": "US",
            "telephone_number": "518-561-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUERSTOCK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-24",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NY",
            "license": "003694",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "271064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malone, NY

Sources for this page

Verify at the official NPI Registry.