THUSHYANTHAN PATHMALINGAM
NPI 1104278555
Family Medicine in Canton, NY

Active since July 11, 2016PECOS EnrolledAccepts Medicare Assignment
95.38/100
CMS Quality Rating
80 E MAIN ST, CANTON, NY 13617(315) 261-5870 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2021, Jul 11, 2016 (2 updates tracked since 2016).

About Thushyanthan Pathmalingam NPPES

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

THUSHYANTHAN PATHMALINGAM (NPI 1104278555) is an individual family medicine provider in Canton, New York, licensed in New York (300572) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1104278555
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHUSHYANTHAN PATHMALINGAM
Location Address80 E MAIN STCanton, NY 13617-1450
Mailing Address50 Leroy StPotsdam, NY 13676-1786 · (315) 265-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 11, 2016
Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1104278555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NY · 300572 Licensed in PA · MT211843
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

80 E MAIN ST, Canton, NY 13617

Secondary Practice Location 1

Location 195 Leonard AveWashington, PA 15301-3368 · Phone (724) 223-3100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thushyanthan Pathmalingam is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517254089
PECOS Enrollment IDI20190923001517
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
232 services103 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
73 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services47 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Slhs Massena, Inc

Critical Access Hospitals · Massena, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331322
Location1 Hospital DriveMassena, NY 13662 · St. Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13617 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims31 services$5.76 avg. paid by Medicare
Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims990 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier11 claims990 services$6.04 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$21.19 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier12 claims12 services$16.57 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$42.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
80 E MAIN ST
CANTON, NY 13617
Urology
80 E MAIN ST
CANTON, NY 13617
Nurse Practitioner (Family)
80 E MAIN ST
CANTON, NY 13617
Physical Therapist
80 E MAIN ST, CANTON PHYSICAL THERAPY, EJ NOBLE BLDG
CANTON, NY 13617
Physician Assistant
80 E MAIN ST
CANTON, NY 13617
Physical Therapist
80 E MAIN ST
CANTON, NY 13617
Nurse Practitioner (Family)
80 E MAIN ST, AFTER HOURS
CANTON, NY 13617
Pediatrics
80 E MAIN ST
CANTON, NY 13617

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 Thushyanthan Pathmalingam's NPI number?

The NPI number for Thushyanthan Pathmalingam is 1104278555. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Thushyanthan Pathmalingam located?

Thushyanthan Pathmalingam practices at 80 E Main St, Canton, NY 13617. The listed phone number is (315) 261-5870.

What is Thushyanthan Pathmalingam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thushyanthan Pathmalingam enrolled in Medicare?

Yes. Thushyanthan Pathmalingam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Thushyanthan Pathmalingam affiliated with any hospitals?

According to CMS data, Thushyanthan Pathmalingam is affiliated with Canton-Potsdam Hospital and Slhs Massena, Inc.

When was this NPI record last updated?

The NPPES record for Thushyanthan Pathmalingam was last updated on March 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.