Active NPI
Stephen J Meyer, DO
- Pain Medicine (Anesthesiology) Physician
- Ithaca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 174274
- Practice address
- 101 Dates Dr
Ithaca, NY 14850-1342 - Phone
- (607) 274-4011
- NPI assigned
- Jan 25, 2006
- Last updated
- Nov 14, 2008
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 174274 | NY | Primary |
Addresses
Primary practice location
101 Dates Dr
Ithaca, NY 14850-1342
Mailing address
202 Taughannock Blvd
PO Box 366
Ithaca, NY 14850-3328
Phone (607) 277-4035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01067349 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 82.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cayuga Medical Associates, PC | Current | Accepting new patients | |
| Premier Anesthesia of New York, P.C. | Pain Medicine | Past | Accepting new patients |
| M. a. Chauhdry, Anesthesiologist, PC | Past | Accepting new patients | |
| Jamestown Anesthesia Associates, PC | Pain Medicine | Past | Accepting new patients |
Locations
101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011
310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100
220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121
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.
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
- Anesthesiology Physician
- Jamestown, NY
- NPI 1821046749
Pain Medicine
-
- Anesthesiology Physician
- Elmira, NY
- NPI 1568527620
-
- Anesthesiology Physician
- Saranac Lake, NY
- NPI 1063658961
Pain Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1467422238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 TAUGHANNOCK BLVD",
"address_2": "PO BOX 366",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503328",
"telephone_number": "607-277-4035",
"fax_number": "607-277-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DATES DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501342",
"telephone_number": "607-274-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "STEPHEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "174274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01067349",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.