Thierry Bonnabesse, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

231566 Issued in NY

Practice address

4 Feathers Drive
Plattsburgh, NY 12901

Phone

(518) 324-7246

Fax

(518) 324-3366

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Pain ManagementAlso: Pain Management

Education

University of Vermont College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adirondack Interventional Physiatry PCGroup PAC ID 1254308463, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
• The University of Vermont Health Network-Alice Hy Hospital, Malone, NY, CCN 331321
• Elizabethtown Community Hospital Hospital, Elizabethtown, NY, CCN 331302
• Adirondack Medical Center - Saranac Lake Hospital, Saranac Lake, NY, CCN 330079

Merit-based Incentive Payment System (MIPS)

Final score

87.45 of 100Reported as group

Quality

90

Improvement activities

40

Cost

62.13

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Adirondack Interventional Physiatry PC

  • Interventional Pain Medicine Physician
  • Plattsburgh, NY
  • NPI 1821166166

  Interventional Pain Medicine, NY

  Medicare reassignment Care Compare group NPD Authorized official
• Performance Orthopedic Design, LLC

  • Prosthetic/Orthotic Supplier
  • Malone, NY
  • NPI 1669040960
  NPD (past)
• Surgical Pain Center of the Adirondacks, LLC

  • Ambulatory Surgical Clinic/Center
  • Plattsburgh, NY
  • NPI 1528553559

  Interventional Pain Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adirondack Medical Center

  • General Acute Care Hospital
  • Saranac Lake, NY
  • NPI 1699709576

  Hospital

  Care Compare affiliation
• Adirondack Medical Center

  • General Acute Care Hospital
  • Saranac Lake, NY
  • NPI 1851601108

  Hospital

  Care Compare affiliation
• Alice Hyde Medical Center

  • Critical Access Hospital
  • Malone, NY
  • NPI 1114954682

  Hospital

  Care Compare affiliation
• Champlain Valley Physicians Hospital Medical Center

  • General Acute Care Hospital
  • Plattsburgh, NY
  • NPI 1033270699

  Hospital

  Care Compare affiliation
• Elizabethtown Community Hospital

  • Ambulance
  • Elizabethtown, NY
  • NPI 1487923637

  Hospital

  Care Compare affiliation
• Elizabethtown Community Hospital

  • Critical Access Hospital
  • Elizabethtown, NY
  • NPI 1891785184

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1487749974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FEATHERS DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016461",
            "telephone_number": "518-324-7246",
            "fax_number": "518-324-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FEATHERS DRIVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-324-7246",
            "fax_number": "518-324-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNABESSE",
        "first_name": "THIERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "231566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Mae Boire, PHARMD, BCPS
• Amanda Joy Bokus
• Elena Boland, M.D.
• Anne L Bombard, R.PH.
• Connor Joseph Bond, APRN, FNP-BC
• Mandi Moore Bordeau, SET
• Nicole Bordeau
• Branden Boston
• Karen M Bouchard, PT, NCS
• Josee Boulanger, PT

• All providers in Plattsburgh, NY
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.

Verify at the official NPI Registry.