George P Marchacos, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

028472 Issued in NY

Practice address

315 Grant Ave
Lake Katrine, NY 12449-5342

Phone

(845) 339-2525

NPI assigned

Jul 7, 2022

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BB Medical and Dermatology IncGroup PAC ID 8123396447, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.12 of 100Reported as group

Quality

86.27

Improvement activities

40

Cost

78.7

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: georgem@advancedderm.emadirect.md

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.

• BB Medical and Dermatology Inc

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1790210516
  Medicare reassignment Care Compare group NPD
• Advanced Dermatology, PLLC

  • Dermatology Physician
  • Kingston, NY
  • NPI 1992725279
  Medicare reassignment

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1619600467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ROBIN ST APT 22",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GRANT AVE",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495342",
            "telephone_number": "845-339-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHACOS",
        "first_name": "GEORGE",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Macgregor-Pilz, LCSW
• Christine Victoria Macmorran, OTR/L
• Delaney Malak
• Daniel Malpica
• Joan Marie Many, RN
• Megan Ashley Martiros, COTA/L
• Susan Mason, M.S., CCC-SLP
• Salvatore Peter Massa, PHD NCSP
• Christopher Edward May, RN
• Victor Arthur McGregor, NP, PH.D

• Physician Assistant in Lake Katrine, NY
• Providers in Lake Katrine, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.