Active NPI
John S Perry, MD
- Family Medicine Physician
- Endwell, NY
National Provider Identifier
1942220223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 164726
- Practice address
- 415 Hooper Rd
Endwell Family Physicians LLP
Endwell, NY 13760-3648 - Phone
- (607) 754-3863
- Fax
- (607) 754-5697
- NPI assigned
- Jul 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 164726 | NY | Primary |
Addresses
Primary practice location
415 Hooper Rd
Endwell Family Physicians LLP
Endwell, NY 13760-3648
Mailing address
415 Hooper Rd
Endwell, NY 13760-3648
Phone (607) 754-3863
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80568957 | Other | HMO BLUE | |
| 10031703 | Other | CDPHP | |
| 80568957 | Other | EMPIRE BS | |
| 88414 | Other | MVP SELECT | |
| 4210341 | Other | AETNA | |
| 80568957 | Other | EXCELLUS | |
| 88414 | Other | MVP | |
| NY0043885 | Other | CHAMPUS | |
| 4210341 | Other | AETNA HMO | |
| 01045812 | Medicaid | NY | |
| 80568957 | Other | BS CNY | |
| 80568957 | Other | BLUEPOINT | |
| 9526384 | Other | GHI |
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
- Hahnemann University College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 Hooper Rd
Endwell, NY 13760-3646
Phone (607) 754-3863
Hospital & facility affiliations
- Twin Tier Home Health, Inc
- United Health Services Hospitals, Inc
- Our Lady of Lourdes Memorial Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.22 of 100
- Quality
- 78.62
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.76
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164726 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endwell Family Physicians LLP | Family Medicine | Current | Accepting new patients |
Locations
415 Hooper Rd
Endwell, NY 13760
Phone (607) 754-3863
Interoperability endpoints
- johnsperry@efp.medentdirect.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Endwell, NY
- NPI 1871512947
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lourdes
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- Home Health Agency
- Johnson City, NY
- NPI 1760489405
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942220223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 HOOPER RD",
"city": "ENDWELL",
"state": "NY",
"postal_code": "137603648",
"telephone_number": "607-754-3863",
"fax_number": "607-754-5697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 HOOPER RD",
"address_2": "ENDWELL FAMILY PHYSICIANS LLP",
"city": "ENDWELL",
"state": "NY",
"postal_code": "137603648",
"telephone_number": "607-754-3863",
"fax_number": "607-754-5697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JOHN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "164726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "80568957",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10031703",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BS",
"identifier": "80568957",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP SELECT",
"identifier": "88414",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4210341",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS",
"identifier": "80568957",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "88414",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "NY0043885",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "4210341",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01045812",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS CNY",
"identifier": "80568957",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUEPOINT",
"identifier": "80568957",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9526384",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Endwell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.