Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

IAN JOHN PEREIRA MD
NPI 1255260378
Radiology - Radiation Oncology in Plattsburgh, NY

Q: What is Ian Pereira's NPI number?

The NPI number for Ian Pereira is 1255260378. It was assigned to this individual provider in the NPPES registry on May 15, 2026.

Q: What is Ian Pereira's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Ian Pereira was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.

Active since May 15, 2026PECOS Enrolled

75 BEEKMAN ST, PLATTSBURGH, NY 12901(518) 562-7100(518) 562-7531 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ian John Pereira Md NPPES

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

IAN JOHN PEREIRA MD (NPI 1255260378) is an individual radiation oncology provider in Plattsburgh, New York, licensed in New York (343386) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS, maintains a secondary practice location in Malone, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1255260378

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameIAN JOHN PEREIRACredential: MD

Location Address75 BEEKMAN STPlattsburgh, NY 12901-1438

Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-2195

Phone(518) 562-7100

Fax(518) 562-7531

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMay 15, 2026

Last NPPES UpdateJuly 29, 2026

NPPES CertifiedJuly 29, 2026

✔ NPI 1255260378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in NY · 343386

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

75 BEEKMAN ST, Plattsburgh, NY 12901

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Secondary Practice Location 1

Location 1133 Park StMalone, NY 12953-1244 · Phone (518) 483-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ian John Pereira Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769953736

PECOS Enrollment IDI20260610001790

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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

$166.88 typical visit price

range $54.87 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

MICHAEL MCMAHON MD

Emergency Medicine