Thomas A. Hagerty, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

2017201 Issued in NY

Practice address

117 Marys Ave
Suite 204
Kingston, NY 12401-5849

Phone

(845) 338-0789

Fax

(845) 334-9150

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Plastic and Reconstructive Surgery

Education

New York University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Healthalliance Hospital Marys Avenue Campus Hospital, Kingston, NY, CCN 330224

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mid Hudson Plastic Surgery PC

  • Plastic Surgery Physician
  • Kingston, NY
  • NPI 1144215161
  Medicare reassignment NPD Authorized official

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

• Healthalliance Hospital Marys Avenue Campus

  • General Acute Care Hospital
  • Kingston, NY
  • NPI 1932182599
  Care Compare affiliation

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1831184449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 ROUTE 9",
            "address_2": "SUITE 31",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721148",
            "telephone_number": "845-876-3868",
            "fax_number": "845-876-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MARYS AVE",
            "address_2": "SUITE 204",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015849",
            "telephone_number": "845-338-0789",
            "fax_number": "845-334-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERTY",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "2017201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01649834",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Grace Gunther, LMHC
• Carolye Gurvitch, LMT
• Nasser Habeeb, D.D.S., P.C.
• Nicole Marie Hack, FNP-BC
• Johanna Kirsten Hagelthorn
• Michael Stewart Hahn, M.D.
• Amanda Haight, LCSW
• Hal N. Buch, MD PC
• David J Hall, MD
• Sophie Halpern

• Plastic Surgery Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.