Theodore Shuster Pabst III, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

187640 Issued in NY

Practice address

24 Hammond LN
Plattsburgh, NY 12901-2076

Phone

(518) 562-7557

Fax

(518) 562-7559

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Vascular SurgeryAlso: General Surgery

Education

Northwestern University Feinberg Medical School, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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

Merit-based Incentive Payment System (MIPS)

Final score

99.89 of 100Reported as individual

Quality

99.64

Improvement activities

40

Cost

79.8

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Carter

  • Nurse Practitioner
  • Plattsburgh, NY
  • NPI 1073965208
  Medicare reassignment

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.

• Champlain Valley Vascular Surgery

  • Vascular Surgery Physician
  • Plattsburgh, NY
  • NPI 1528208881
  NPD (past) Authorized official
• Adirondack Audiology Associates, PC

  • Audiologist
  • Saranac Lake, NY
  • NPI 1841365467
  NPD (past)
• Alice Hyde Medical Center

  • Skilled Nursing Facility
  • Malone, NY
  • NPI 1356441349
  NPD (past)
• Champlain Valley Physicians Hospital Medical Center

  • General Acute Care Hospital
  • Plattsburgh, NY
  • NPI 1033270699
  NPD (past)
• Champlain Valley Physicians Hospital Medical Center

  • Internal Medicine Physician
  • Plattsburgh, NY
  • NPI 1124189782
  NPD (past)

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

• Alice Hyde Medical Center

  • Critical Access Hospital
  • Malone, NY
  • NPI 1114954682
  Care Compare affiliation
• Champlain Valley Physicians Hospital Medical Center

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

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1508967563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMMOND LN",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012006",
            "telephone_number": "518-562-7557",
            "fax_number": "518-562-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HAMMOND LN",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012076",
            "telephone_number": "518-562-7557",
            "fax_number": "518-562-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABST",
        "first_name": "THEODORE",
        "middle_name": "SHUSTER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "187640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01276613",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE INDIV",
            "identifier": "020014148",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CM1443",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delaney Powell Osborn, MD
• Brian Allan Osborne, LICENSES ACUPUNCTURI
• Ladd Bruce Osborne, M.D.
• Sholabomi Oyewole-Eletu, M.D.
• Allsun Ozyesil, LMHC, NCC
• William Anthony Pace, MD
• Jason A. Pachter, MA, ATC, CSCS
• Cara M Padovano, FNP
• Brett McLeod Paepke, OD
• Charles W Paepke, OD

• Vascular Surgery Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.