Active NPI
Michael T Wingate, MD
- Surgery Physician
- Du Bois, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD446948
- Practice address
- 100 Hospital Ave
Du Bois, PA 15801-1440 - Phone
- (814) 375-6560
- Fax
- (814) 372-2848
- NPI assigned
- Aug 30, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD446948 | PA | Primary |
Addresses
Primary practice location
100 Hospital Ave
Du Bois, PA 15801-1440
Mailing address
145 Hospital Ave
Suite 313
Du Bois, PA 15801-1462
Phone (814) 375-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100887161 | Medicaid | PA | |
| 02458299 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060626000271 | NY | Practitioner - General Surgery | 9133131675 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- State University of New York at Stony Brook, School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chenango Memorial Hospital Inc
Practice addresses (Care Compare)
179 N Broad St
Norwich, NY 13815-1019
Phone (607) 337-4111
4 Newton Ave
Uhs Medical Specialties Norwich
Norwich, NY 13815-1153
Phone (607) 336-2167
Hospital & facility affiliations
- Chenango Memorial Hospital
- United Health Services Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.4 of 100
- Quality
- 86.36
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 79.9
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 48 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 12 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD446948 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenango Memorial Hospital Inc | Current | Accepting new patients | |
| Chenango Memorial Hospital, Inc | Current | Accepting new patients | |
| Chenango Memorial Hospital Inc | Current | Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Surgery | Past | Accepting new patients |
Locations
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111
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 and National Provider Directory roles.
-
- Medicare Defined Swing Bed Hospital Unit
- Norwich, NY
- NPI 1225049372
-
- Durable Medical Equipment & Medical Supplies
- Norwich, NY
- NPI 1437818622
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494806400000",
"number": "1477546950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 HOSPITAL AVE",
"address_2": "SUITE 313",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011462",
"telephone_number": "814-375-4000",
"fax_number": "814-375-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL AVE",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011440",
"telephone_number": "814-375-6560",
"fax_number": "814-372-2848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGATE",
"first_name": "MICHAEL",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2017-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD446948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100887161",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02458299",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; 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.