Active NPI
Michael C Free, RPA-C
- Medical Physician Assistant
- Walton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 004868
- Practice address
- 1 Titus Place
Walton, NY 13856 - Phone
- (607) 865-2189
- Fax
- (845) 565-3395
- NPI assigned
- Aug 19, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 004868 | NY | Primary |
Addresses
Primary practice location
1 Titus Place
Walton, NY 13856
Mailing address
1 Titus Place
Emergency Dept.
Walton, NY 13856
Phone (607) 865-2189
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Delaware Valley Hospital Inc.
Practice addresses (Care Compare)
2 Titus PL
Walton, NY 13856-1455
Phone (607) 865-2400
Hospital & facility affiliations
- Delaware Valley Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.41 of 100
- Quality
- 90.71
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004868 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Valley Hospital, Inc | Current | Accepting new patients | |
| Delaware Valley Hospital, Inc | Current | Accepting new patients | |
| Hudson Valley Emergency Medicine PLLC | Past | Accepting new patients |
Locations
2 Titus Pl
Walton, NY 13856
Phone (607) 865-2197
2 Titus Pl
#13202
Walton, NY 13856
Phone (607) 865-2197
1 Titus Pl
Walton, NY 13856
Phone (607) 337-4700
Organizations & group practices 3
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.
-
- Critical Access Hospital Clinic/Center
- Walton, NY
- NPI 1144312646
-
- Critical Access Hospital
- Walton, NY
- NPI 1417940719
-
- General Practice Physician
- Poughkeepsie, NY
- NPI 1093746505
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Walton, NY
- NPI 1417940719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1104930593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 TITUS PLACE",
"address_2": "EMERGENCY DEPT.",
"city": "WALTON",
"state": "NY",
"postal_code": "13856",
"telephone_number": "607-865-2189",
"fax_number": "845-565-3395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TITUS PLACE",
"city": "WALTON",
"state": "NY",
"postal_code": "13856",
"telephone_number": "607-865-2189",
"fax_number": "845-565-3395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREE",
"first_name": "MICHAEL",
"middle_name": "C",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "004868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.