Active NPI
Terry Lee Pummer, DO
- Family Medicine Physician
- Massena, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 337465
- Practice address
- 1 Hospital Dr
Massena, NY 13662-1056 - Phone
- (315) 769-4392
- NPI assigned
- Oct 12, 2005
- Last updated
- Jun 4, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS012759 | PA | |
| Family Medicine Physician | 207Q00000X | 21836 | MS | |
| Family Medicine Physician | 207Q00000X | 337465 | NY | Primary |
Addresses
Primary practice location
1 Hospital Dr
Massena, NY 13662-1056
Mailing address
50 Leroy St
Potsdam, NY 13676-1786
Other practice location 1
960 Avent Dr
Suite 100A
Grenada, MS 38901-5230
Phone (662) 227-7444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101343001 | Medicaid | PA | |
| 00059747 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Massena, NY 13662-1056
Phone (315) 769-4200
Hospital & facility affiliations
- Health Services of Northern New York Inc Chha
- SLHS Massena, Inc
- Canton-Potsdam Hospital
- The University of Vermont Health Network-Alice Hy
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 503 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Family Medicine | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Massena Hospital, Inc | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Massena Hospital Inc | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Monaca | Past | Accepting new patients |
Locations
1000 Ochsner Blvd
Covington, LA 70433
Phone (985) 898-7051
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
960 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7444
965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000
239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321
1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
Interoperability endpoints
- tpummer419258@direct.rochesterregional.org
Organizations & group practices 12
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.
-
- Critical Access Hospital
- Massena, NY
- NPI 1972604460
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Internal Medicine Physician
- Bay Saint Louis, MS
- NPI 1538674239
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Medicare Defined Swing Bed Hospital Unit
- Massena, NY
- NPI 1619756640
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
dba Ochsner Urgent Care & Occupational Health - Diamondhead
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1316662059
-
dba Ochsner Health Center For Children-Pediatric Specialties-McComb
- Internal Medicine Physician
- McComb, MS
- NPI 1457857062
-
- Family Medicine Physician
- Lexington, MS
- NPI 1013020395
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Urgent Care Clinic/Center
- Monaca, PA
- NPI 1801040092
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- Home Health Agency
- Potsdam, NY
- NPI 1952407033
-
- Critical Access Hospital
- Massena, NY
- NPI 1972604460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1528056637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 LEROY ST",
"city": "POTSDAM",
"state": "NY",
"postal_code": "136761786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "MASSENA",
"state": "NY",
"postal_code": "136621056",
"telephone_number": "315-769-4392"
}
],
"practiceLocations": [
{
"address_1": "960 Avent Dr",
"address_2": "Suite 100A",
"address_purpose": "LOCATION",
"city": "Grenada",
"state": "MS",
"postal_code": "389015230",
"country_code": "US",
"telephone_number": "662-227-7444",
"fax_number": "662-227-7443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUMMER",
"first_name": "TERRY",
"middle_name": "LEE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS012759",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "21836",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "337465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101343001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00059747",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massena, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.