Individual provider Active NPI

Craig A Nachbauer, M.D.

  • Vascular Surgery Physician
  • Plattsburgh, NY
National Provider Identifier
1689636052
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
240212-1 Issued in NY
Practice address
24 Hammond LN
Plattsburgh, NY 12901-2076
Phone
(518) 314-1520
Fax
(518) 314-1178
NPI assigned
Apr 3, 2006
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 240212-1 NY Primary

Addresses

Primary practice location

24 Hammond LN
Plattsburgh, NY 12901-2076

Mailing address

1 Jerry Dr
Plattsburgh, NY 12901-1421
Phone (518) 314-1520

Other practice location 1

54 W Twin Oaks Ter Ste 14
S Burlington, VT 05403-7141
Phone (518) 314-1520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070423000369 NY Practitioner - Vascular SurgeryPractitioner - Thoracic Surgery 0648375451 Reassigns benefits to 1 organization
I20120927000826 VT Practitioner - Vascular SurgeryPractitioner - Thoracic Surgery 0648375451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Thoracic Surgery
Education
Ohio State University College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 Hammond LN
Plattsburgh, NY 12901-2076
Phone (518) 314-1520

54 W Twin Oaks Ter
Suite 14
South Burlington, VT 05403-7141
Phone (518) 314-1520

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
240212-1NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Afterhours Imaging, LLC CurrentSince Oct 1, 2024 Accepting new patients
North Country Thoracic & Vascular, PC Vascular Surgery CurrentSince May 22, 2009 Accepting new patients
Albany Cardiothoracic Surgeons PastSince Jun 1, 2022 Accepting new patients
Mt Mansfield Obstetrics and Gynecology Past Accepting new patients
Nancy Carlson Fisher MD PC PastSince Jan 26, 2009 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Past Accepting new patients

Locations

12 Healey Ave
Plattsburgh, NY 12901
Phone (518) 314-1520

24 Hammond Ln
Plattsburgh, NY 12901
Phone (518) 314-1520

45 Smithfield Blvd
Plattsburgh, NY 12901

54 W Twin Oaks Ter
Ste 14
South Burlington, VT 05403
Phone (518) 314-1520

Interoperability endpoints

  • Direct secure messaging: cnachbauer471464@direct.uvmhealth.org
  • FHIR API: https://api.platform.athenahealth.com/15298/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1689636052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JERRY DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011421",
            "telephone_number": "518-314-1520",
            "fax_number": "518-314-1178"
        },
        {
            "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": "518-314-1520",
            "fax_number": "518-314-1178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 W Twin Oaks Ter Ste 14",
            "address_purpose": "LOCATION",
            "city": "S Burlington",
            "state": "VT",
            "postal_code": "054037141",
            "country_code": "US",
            "telephone_number": "518-314-1520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NACHBAUER",
        "first_name": "CRAIG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "240212-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.