Individual provider Active NPI

Catherine Thompson, PA-C

  • Dermatology Physician
  • Ithaca, NY
National Provider Identifier
1275197964
Registry record updated Apr 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0010-08557 Issued in NC
Practice address
2333 N Triphammer Rd Ste 203
Ithaca, NY 14850-1075
Phone
(607) 257-1107
NPI assigned
Apr 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-08557 NC
Dermatology Physician 207N00000X 0010-08557 NC Primary

Addresses

Primary practice location

2333 N Triphammer Rd Ste 203
Ithaca, NY 14850-1075

Mailing address

2333 N Triphammer Rd Ste 203
Ithaca, NY 14850-1075
Phone (607) 257-1107

Other practice location 1

3773 Luker Rd
Cortland, NY 13045-9398
Phone (607) 257-1107

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930001900 NY Practitioner - Physician Assistant 1052641321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Josephine C. McAllister, M.D., LLCGroup PAC ID 9739366691, 7 clinicians

Practice addresses (Care Compare)

1051 Craft Rd
Ithaca, NY 14850-1016
Phone (607) 257-1107

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.56 of 100Reported as group
Quality
92.41
Promoting interoperability
80
Improvement activities
40
Cost
79.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-08557NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Robert T. Horn, Jr., M.D. Dermatology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: catherine@ithacaderm.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1556409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556409600000",
    "number": "1275197964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 N TRIPHAMMER RD STE 203",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501075",
            "telephone_number": "607-257-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 N TRIPHAMMER RD STE 203",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501075",
            "telephone_number": "607-257-1107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3773 Luker Rd",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130459398",
            "country_code": "US",
            "telephone_number": "607-257-1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-28",
        "last_updated": "2019-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08557",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "0010-08557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.