MID HUDSON PLASTIC SURGERY PC
NPI 1144215161
Plastic Surgery in Kingston, NY

Q: What is Mid Hudson Plastic Surgery PC's NPI number?

The NPI number for Mid Hudson Plastic Surgery PC is 1144215161. It was assigned to this organization in the NPPES registry on September 15, 2005.

Q: What is Mid Hudson Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since September 15, 2005CLIA 33D0999702 · Waiver

117 MARYS AVE, SUITE 204, KINGSTON, NY 12401(845) 338-0789(845) 334-9150 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 21, 2016, May 18, 2016 (2 updates tracked since 2016).

On this page

About Mid Hudson Plastic Surgery Pc NPPES

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

MID HUDSON PLASTIC SURGERY PC (NPI 1144215161) is a healthcare organization registered as a plastic surgery in Kingston, New York and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Thomas Hagerty, Group Owner, as its authorized official.

NPPES Registry Identity

NPI1144215161

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameMID HUDSON PLASTIC SURGERY PC

Location Address117 MARYS AVE, SUITE 204Kingston, NY 12401-5849

Mailing Address117 Marys Ave, Suite 204Kingston, NY 12401-5849 · (845) 338-0789 · Fax (845) 334-9150

Phone(845) 338-0789

Fax(845) 334-9150

Organization SubpartNo

Authorized OfficialThomas HagertyGroup Owner · (845) 338-0799

Enumeration DateSeptember 15, 2005

Last NPPES UpdateSeptember 21, 20162 updates tracked since enumeration

✔ NPI 1144215161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in NY · 2017201

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

117 MARYS AVE, Kingston, NY 12401

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mid Hudson Plastic Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mid Hudson Plastic Surgery PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thomas Hagerty, MD

Plastic and Reconstructive Surgery

NPI 1831184449

117 MARYS AVE SUITE 204
Kingston, NY 12401

(845) 338-0789

✔ PECOS✔ Accepts Medicare0.9 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0999702

Mid Hudson Plastic Surgery Center · Kingston, NY

Active · expires Feb 23, 2028

CLIA Number33D0999702

Laboratory TypePhysician Office

Certificate Effective DateFebruary 24, 2026

Certificate Expiration DateFebruary 23, 2028

Laboratory DirectorThomas A. Hagerty

Laboratory Phone(845) 338-0789

Laboratory LocationMid Hudson Plastic Surgery Center117 Mary's Avenue Suite 204, Kingston, NY 12401

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Mid Hudson Plastic Surgery PC's NPI number?

The NPI number for Mid Hudson Plastic Surgery PC is 1144215161. It was assigned to this organization in the NPPES registry on September 15, 2005.

Where is Mid Hudson Plastic Surgery PC located?

Mid Hudson Plastic Surgery PC is located at 117 Marys Ave Suite 204, Kingston, NY 12401. The listed phone number is (845) 338-0789.

What is Mid Hudson Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Mid Hudson Plastic Surgery PC enrolled in Medicare?

Yes. Mid Hudson Plastic Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid Hudson Plastic Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Mid Hudson Plastic Surgery PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mid Hudson Plastic Surgery PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0999702) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mid Hudson Plastic Surgery PC was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.