KRISTY MCGOUGH
NPI 1336667948
Physician Assistant - Medical in Syracuse, NY
About Kristy Mcgough NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTY MCGOUGH (NPI 1336667948) is an individual medical provider in Syracuse, New York, licensed in New York (021252) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Kristy Mcgough 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.
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.
SYRACUSE, NY 13215
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 Kristy Mcgough's NPI number?
The NPI number for Kristy Mcgough is 1336667948. It was assigned to this individual provider in the NPPES registry on September 4, 2017.
Where is Kristy Mcgough located?
Kristy Mcgough practices at 4900 Broad Rd, Syracuse, NY 13215. The listed phone number is (315) 492-5011.
What is Kristy Mcgough's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kristy Mcgough enrolled in Medicare?
Yes. Kristy Mcgough 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.
When was this NPI record last updated?
The NPPES record for Kristy Mcgough was last updated on July 7, 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.
# Kristy Mcgough · NPI 1336667948
Medical physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since September 4, 2017.
## Identity
- **NPI:** 1336667948 (Entity type: Individual)
- **Enumerated:** September 4, 2017
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 021252 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4900 BROAD RD, Syracuse, NY 13215-2265
- **Phone:** (315) 492-5011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1336667948) · Data from the CMS NPPES public registry.