Jeffrey Louis Avery, PAC, MPAS
Individual provider Active NPI Physician Assistant · Vestal, NY
NPI 1508835992 · NPPES record last updated Dec 9, 2019
Key facts
- NPI
- 1508835992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 007379-1 (NY)
- Practice address
- 4433 Vestal Pkwy E
Vestal, NY 13850-3556 - Phone
- (607) 771-2220
- Fax
- (607) 251-2635
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Health Services Hospitals, Inc.
Practice addresses (Care Compare)
10 -24 Mitchell Ave
Binghamton, NY 13903-1617
Phone (607) 762-3131
33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6101
4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 770-7365
4433 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 771-2220
52 Harrison St
Johnson City, NY 13790-2120
Phone (607) 763-5898
54 Main St
Candor, NY 13743-1619
Phone (607) 659-7272
Hospital & facility affiliations
- United Health Services Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 86.74
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.09
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091125000000 | NY | Practitioner - Physician Assistant | 6204874480 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007379-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Health Services Hospitals, Inc. | Current |
Accepting new patients | |
| United Medical Associates PC | Current |
Accepting new patients | |
| Guthrie Medical Group, P.C. | Past | Accepting new patients |
Locations
33 Lewis Rd
Ste 2
Binghamton, NY 13905
33 Mitchell Ave
Ste G50
Binghamton, NY 13903
Phone (607) 771-2220
33 Mitchell Ave
#G50
Binghamton, NY 13903
Phone (607) 771-2220
346 Grand Ave
Johnson City, NY 13790
Phone (607) 729-8156
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
4433 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 762-2176
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA003068L | PA | |
| Physician Assistant | 363A00000X | 007379-1 | NY | Yes |
Addresses
Primary practice location
4433 Vestal Pkwy E
Vestal, NY 13850-3556
Mailing address
33 Lewis Rd Ste 2
Binghamton, NY 13905-1040
Phone (607) 729-8156
Other providers in Vestal, NY
- Subadra Arunagirinathan
- Sarah Elizabeth Asher
- Anjana Ashok
- John Charles Ashton
- Jacob Christopher Aurelio
- Gabrielle Aviles
- Nathaniel S. Baer
- Brandon Michael Bailey
- Yohance Bailey
- Nicholas A Balaci
All providers in Vestal, NY · Physician Assistant 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 Dec 9, 2019. 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.
- 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.