DR. DAVID WILLIAM HANSEN MD
NPI 1003105768
Pediatrics - Pediatric Endocrinology in Syracuse, NY

Active since April 04, 2011PECOS Enrolled
3229 E. GENESEE ST, SUITE 1, SYRACUSE, NY 13214(315) 464-5726(315) 464-2510 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 23, 2023, Oct 1, 2015 (2 updates tracked since 2015).

About Dr. David William Hansen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID WILLIAM HANSEN MD (NPI 1003105768) is an individual pediatric endocrinology provider in Syracuse, New York, licensed in New York (292193) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003105768
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameDR. DAVID WILLIAM HANSENCredential: MD
Location Address3229 E. GENESEE ST, SUITE 1Syracuse, NY 13214
Mailing Address725 East Adams St, 5th FlSyracuse, NY 13210 · (315) 464-5726 · Fax (315) 464-2510
Fax(315) 464-2510
Sole ProprietorNo
Enumeration DateApril 4, 2011
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1003105768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
Licenses✔ Licensed in NY · 292193✔ Licensed in IN · 01075810A
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Also ListedPediatricsTaxonomy 208000000X · License 60409 (WI)
3229 E. GENESEE ST, Syracuse, NY 13214

Other Identifiers 3

Medicaid1003105768WI
Medicaid05233927NY
Medicaid1003105768IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David William Hansen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show David Hansen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
750 E. ADAMS ST., 5TH FLOOR
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 131 clinicians in this Medicare group
General Practice
625 ELMWOOD AVE, BOX 683
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
Pediatric Endocrinology
601 ELMWOOD AVE, BOX 635
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 20 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Hansen's NPI number?

The NPI number for David Hansen is 1003105768. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Where is David Hansen located?

David Hansen practices at 3229 E. Genesee St Suite 1, Syracuse, NY 13214. The listed phone number is (315) 464-5726.

What is David Hansen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is David Hansen enrolled in Medicare?

Yes. David Hansen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Hansen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Hansen reassigns Medicare benefits to 3 organizations: Pediatric Service Group (Syracuse, NY), University Of Rochester (Rochester, NY) and Pediatric Metabolism Endercrenology (Rochester, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Hansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Hansen was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.