Active NPI
Mason Michael Sopchak, DO
- Family Medicine Physician
- Dryden, NY
National Provider Identifier
1679808885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L1594796
- Practice address
- 5 Evergreen St
Dryden, NY 13053-0000 - Phone
- (607) 844-8181
- Fax
- (607) 844-4288
- NPI assigned
- Oct 6, 2009
- Last updated
- Sep 27, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | L1594796 | MI | |
| Family Medicine Physician | 207Q00000X | L1594796 | MI | Primary |
Addresses
Primary practice location
5 Evergreen St
Dryden, NY 13053-0000
Mailing address
4185 Garrett Rd
Ithaca, NY 14850-9564
Phone (607) 427-6728
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5 Evergreen St
Dryden, NY 13053
Phone (607) 844-8181
Hospital & facility affiliations
- VNS Ithaca Tompkins Co Chha
- Hospicare & Palliative Care Services
- Cayuga Medical Center at Ithaca
- Guthrie Cortland Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 82.87
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1594796 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cayuga Medical Associates, PC | Current | Accepting new patients |
Locations
310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100
Interoperability endpoints
- masons@hiemail.healtheconnections.org
- msopchak27390@direct.xtensys.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
- Family Medicine Physician
- Dryden, NY
- NPI 1689626053
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
-
- General Acute Care Hospital
- Cortland, NY
- NPI 1740287531
-
dba Hospicare and Palliative Care Services
- Community Based Hospice Care Agency
- Ithaca, NY
- NPI 1730185737
-
- Home Health Agency
- Ithaca, NY
- NPI 1447257928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380240000000",
"number": "1679808885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4185 GARRETT RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148509564",
"telephone_number": "607-427-6728",
"fax_number": "607-844-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 EVERGREEN ST",
"city": "DRYDEN",
"state": "NY",
"postal_code": "130530000",
"telephone_number": "607-844-8181",
"fax_number": "607-844-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOPCHAK",
"first_name": "MASON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-06",
"last_updated": "2013-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MI",
"license": "L1594796",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "L1594796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dryden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.