Michael J Freeman, DO
Individual provider Active NPI Family Medicine Physician · Walton, NY
NPI 1396743407 · NPPES record last updated Jul 7, 2010
Key facts
- NPI
- 1396743407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2038551 (NY)
- Practice address
- 2 Titus PL
Walton, NY 13856-1455 - Phone
- (607) 865-2400
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1994
- 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
- At Home Care Inc Chha
- Helios Care
- Delaware Valley Hospital, Inc
- Chenango Memorial Hospital
- O'Connor Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.41 of 100
- Quality
- 90.71
- Promoting interoperability
- 99
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Delaware Valley Hospital Inc. |
Hospital | Corporate Director | Jan 1, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100915000006 | NY | Practitioner - Family Practice | 7214052232 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2038551 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Valley Hospital, Inc | Current | Accepting new patients | |
| Delaware Valley Hospital, Inc | Current |
Accepting new patients |
Locations
2 Titus Pl
#13202
Walton, NY 13856
Phone (607) 865-2197
2 Titus Pl
Walton, NY 13856
Phone (607) 865-2197
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2038551 | NY | Yes |
Addresses
Primary practice location
2 Titus PL
Walton, NY 13856-1455
Mailing address
118 Townsend St
Walton, NY 13856-1224
Other providers in Walton, NY
- Jessica Nicole Essaadi
- Sibel Finn
- Patrick James Fitzpatrick
- Karen Holland Nicholson Forbes
- Michael C Free
- Nicole Gerace
- Erin Marie Gotthardt
- Jane F. Gotthardt
- Kailyn Griffin
- Amanda M Groff
All providers in Walton, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.