ST LAWRENCE RADIOLOGY ASSOC PC
NPI 1154380863
Radiology - Diagnostic Radiology in Potsdam, NY
About St Lawrence Radiology Assoc Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST LAWRENCE RADIOLOGY ASSOC PC (NPI 1154380863) is a healthcare organization registered as a diagnostic radiology in Potsdam, New York and active in the NPI registry since March 2006. The organization lists Glauco Maresca, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St Lawrence Radiology Assoc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
56Medicare enrollment records show 56 clinicians reassign Medicare billing to St Lawrence Radiology Assoc PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 56Potsdam, NY 13676
Massena, NY 13662
Oneida, NY 13421
Cortland, NY 13045
Warsaw, NY 14569
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 St Lawrence Radiology Assoc PC's NPI number?
The NPI number for St Lawrence Radiology Assoc PC is 1154380863. It was assigned to this organization in the NPPES registry on March 21, 2006.
Where is St Lawrence Radiology Assoc PC located?
St Lawrence Radiology Assoc PC is located at 50 Leroy St Canton Potsdam Hospital, Potsdam, NY 13676. The listed phone number is (315) 782-2620.
What is St Lawrence Radiology Assoc PC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is St Lawrence Radiology Assoc PC enrolled in Medicare?
Yes. St Lawrence Radiology Assoc PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Lawrence Radiology Assoc PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 56 clinicians in 2 Medicare specialties reassign their Medicare billing to St Lawrence Radiology Assoc 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. The largest specialties are Diagnostic Radiology (55) and Interventional Radiology (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does St Lawrence Radiology Assoc PC accept?
Health plans from WellSense Health Plan list St Lawrence Radiology Assoc PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for St Lawrence Radiology Assoc PC was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# St Lawrence Radiology Assoc Pc · NPI 1154380863
Diagnostic Radiology organization in Potsdam, New York. Organization record, active in the CMS NPPES registry since March 21, 2006.
## Identity
- **NPI:** 1154380863 (Entity type: Organization)
- **Enumerated:** March 21, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Glauco Maresca, PRESIDENT/CEO
## Practice location
- **Address:** 50 LEROY ST, CANTON POTSDAM HOSPITAL, Potsdam, NY 13676-1786
- **Phone:** (315) 782-2620 · **Fax:** (315) 788-4980
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 56 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (55), Interventional Radiology (1); 2 practice at this address; [full list](https://npiprofile.com/npi/1154380863/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2020
- **Other identifiers:** Medicaid 01350563 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1154380863) · Data from the CMS NPPES public registry.