Individual provider Active NPI

Lawrence J Pecora, MD

  • Ophthalmology Physician
  • Endicott, NY
National Provider Identifier
1992891386
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
207634 Issued in NY
Practice address
1207 E Main St
Endicott, NY 13760-5219
Phone
(607) 785-3043
Fax
(607) 785-9093
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 207634 NY Primary
Ophthalmology Physician 207W00000X MD071473L PA

Addresses

Primary practice location

1207 E Main St
Endicott, NY 13760-5219

Mailing address

1207 E Main St
Endicott, NY 13760-5219
Phone (607) 785-3043

Other identifiers 3

IdentifierTypeStateIssuer
207634OtherNYLICENSE
MD071473LOtherPALICENSE
02257885MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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
I20110608000803 NY Practitioner - Ophthalmology 5294704516 Reassigns benefits to 1 organization
I20120404000930 PA Practitioner - Ophthalmology 5294704516 Practice locations: Susquehanna, PA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pecora Ophthalmology Practice PLLCGroup PAC ID 1153390471, 2 clinicians

Practice addresses (Care Compare)

1207 E Main St
Endicott, NY 13760-5219
Phone (607) 785-3043

Hospital & facility affiliations

  • Our Lady of Lourdes Memorial Hospital, Inc Hospital, Binghamton, NY, CCN 330011
  • United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
98.06
Improvement activities
40
Cost
75.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207634NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pecora Ophthalmology Practice PLLC Ophthalmology CurrentSince Jan 1, 2013 Accepting new patients
Binghamton ASC LLC Ophthalmology Past Accepting new patients
Samir B Pancholy LLC Past Accepting new patients

Locations

1207 E Main St
Endicott, NY 13760
Phone (607) 754-2440

Interoperability endpoints

  • Direct secure messaging: lpecora@pecora.intellechartdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992891386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605219",
            "telephone_number": "607-785-3043",
            "fax_number": "607-785-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605219",
            "telephone_number": "607-785-3043",
            "fax_number": "607-785-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECORA",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "207634",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD071473L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "207634",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD071473L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02257885",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

Verify at the official NPI Registry.