Individual provider Active NPI

Cory David Kilpatrick, D.P.M.

  • Podiatrist
  • Elmira, NY
National Provider Identifier
1376848366
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
LPR00098 Issued in RI
Practice address
668 Park PL
Elmira, NY 14901-2033
Phone
(607) 734-4582
Fax
(607) 734-4596
NPI assigned
Jan 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X LPR00098 RI Primary
Podiatrist 213E00000X N006453-1 NY
Podiatrist 213E00000X SC006519 PA

Addresses

Primary practice location

668 Park PL
Elmira, NY 14901-2033

Mailing address

668 Park PL
Elmira, NY 14901-2033
Phone (607) 734-4582

Other identifiers 1

IdentifierTypeStateIssuer
03613238MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130729000209 NY Practitioner - Podiatry 5496996811 Reassigns benefits to 1 organization
I20131008000676 PA Practitioner - Podiatry 5496996811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thurber and Thurber, DPM PCGroup PAC ID 4880648633, 5 clinicians

Practice addresses (Care Compare)

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-6666

668 Park PL
Elmira, NY 14901-2033
Phone (607) 734-4582

Hospital & facility affiliations

  • Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090
  • Corning Hospital Hospital, Corning, NY, CCN 330277
  • Robert Packer Hospital Hospital, Sayre, PA, CCN 390079

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue203
Removal of skin lesions26
Removal of nail tissue2457
Removal or shaving of skin growth963
Skin biopsy12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006543NYMDAcupuncturist
N006453-1NYMDPodiatrist
SC006519PAMDPodiatrist
LPR00098RIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thurber & Thurber, DPM PC Podiatrist CurrentSince Jul 8, 2013 Accepting new patients
Thurber & Thurber, DPM PC Podiatrist CurrentSince Jul 8, 2013 Accepting new patients

Locations

668 Park Pl
Elmira, NY 14901
Phone (607) 734-4582

3345 Chambers Rd
Ste 4
Horseheads, NY 14845
Phone (607) 739-8318

1 Garfield St
Ste 400
Waverly, NY 14892
Phone (607) 565-8128

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: ckilpatrick26501@direct.xtensys.com
  • Direct secure messaging: ckilpatrick@tatdpm.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1376848366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 PARK PL",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012033",
            "telephone_number": "607-734-4582",
            "fax_number": "607-734-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 PARK PL",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012033",
            "telephone_number": "607-734-4582",
            "fax_number": "607-734-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "CORY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-21",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "LPR00098",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006453-1",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03613238",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.