Individual provider Active NPI

Thomas Robert Elmer VI, MD

  • Specialist
  • Amherst, NY
National Provider Identifier
1255335907
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
224822-2 Issued in NY
Practice address
2825 Niagara Falls Blvd
Ste 130
Amherst, NY 14228-2021
Phone
(716) 564-2020
Fax
(716) 564-2060
NPI assigned
Jun 10, 2005
Last updated
Jun 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 224822-2 NY Primary

Addresses

Primary practice location

2825 Niagara Falls Blvd
Ste 130
Amherst, NY 14228-2021

Mailing address

1837 Winter Rd
Grand Island, NY 14072-1053
Phone (716) 864-5479

Other identifiers 11

IdentifierTypeStateIssuer
00011122301OtherNYUNIVERA
02286299MedicaidNY
161578122OtherNYEMPIRE - UNITED HEALTHCAR
161578122OtherNYAMERISIGHT
251744484OtherNYEMPIRE - UNITED HEALTHCAR
251744484OtherNYNOVA
P00225786OtherNYMEDICARE RAILROAD
161578122OtherNYNOVA
161578122OtherNYNORTH AMERICAN PREFERRED
161578122OtherNYVISION LCA
251744484OtherNYNORTH AMERICAN PREFERRED

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
I20050125000281 NY Practitioner - Ophthalmology 1052361573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Buffalo School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fichte-Endl and Elmer Eye Surgery PCGroup PAC ID 0446228597, 11 clinicians

Practice addresses (Care Compare)

2825 Niagara Falls Blvd
Suite 130
Amherst, NY 14228-2021
Phone (716) 564-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.89 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery618

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224822-2NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
University Ophthalmology Services Inc. Past Accepting new patients
Niagara ASC, LLC PastSince Aug 5, 2013 Accepting new patients
Eye Health Associates Inc PastSince Nov 1, 2014 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1255335907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 WINTER RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721053",
            "telephone_number": "716-864-5479",
            "fax_number": "716-564-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 NIAGARA FALLS BLVD",
            "address_2": "STE 130",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282021",
            "telephone_number": "716-564-2020",
            "fax_number": "716-564-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMER",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "VI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "224822-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011122301",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02286299",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE - UNITED HEALTHCAR",
            "identifier": "161578122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERISIGHT",
            "identifier": "161578122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE - UNITED HEALTHCAR",
            "identifier": "251744484",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVA",
            "identifier": "251744484",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00225786",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVA",
            "identifier": "161578122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AMERICAN PREFERRED",
            "identifier": "161578122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION LCA",
            "identifier": "161578122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AMERICAN PREFERRED",
            "identifier": "251744484",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.