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CASSANDRA M PRONTI FNP
NPI 1336791896
Family Medicine in Herkimer, NY

Active since July 15, 2019PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
321 E ALBANY ST, HERKIMER, NY 13350(315) 867-2700(315) 867-2717 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2022, Jan 3, 2022, Jul 15, 2019 (3 updates tracked since 2019).

About Cassandra M Pronti Fnp NPPES

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

CASSANDRA M PRONTI FNP (NPI 1336791896) is an individual family medicine provider in Herkimer, New York, licensed in New York (F344511-01) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Bassett Healthcare, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336791896
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCASSANDRA M PRONTICredential: FNP
Location Address321 E ALBANY STHerkimer, NY 13350-2016
Mailing Address1 Atwell RdCooperstown, NY 13326-1301 · (315) 867-2700 · Fax (315) 867-2717
Phone(315) 867-2700
Fax(315) 867-2717
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 15, 2019
Last NPPES UpdateApril 13, 20223 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
✔ NPI 1336791896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · F344511-01
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.
321 E ALBANY ST, Herkimer, NY 13350
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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

Cassandra M Pronti Fnp 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 ID8123357662
PECOS Enrollment IDI20190910000600
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 2

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.
441 services192 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

Little Falls Hospital

Critical Access Hospitals · Little Falls, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331311
Location140 Burwell StreetLittle Falls, NY 13365 · Herkimer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13350 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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

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.

CYNTHIA RELES P.A.
Physician Assistant
321 E ALBANY ST
HERKIMER, NY 13350
Herkimer County (315) 867-2865
MOTUNRAYO ADEBIMPE LANASE-SALAAM MD
Family Medicine
321 E ALBANY ST
HERKIMER, NY 13350
Herkimer County (315) 867-2700
ELIZABETH NYAWIRA KIMANI FNP
Nurse Practitioner (Family)
321 E ALBANY ST
HERKIMER, NY 13350
Herkimer County (315) 867-2700
DR. MARGARET SCANDURA M.D.
Pediatrics
321 E ALBANY ST
HERKIMER, NY 13350
Herkimer County (315) 867-2717
SAMANTHA AUSTIN FNP-BC
Nurse Practitioner (Family)
321 E ALBANY ST
HERKIMER, NY 13350
Herkimer County (315) 867-2700
MRS. CRYSTAL LYN BASTIEN PA-C
Physician Assistant
321 E ALBANY ST
HERKIMER, NY 13350
Herkimer County (315) 867-2700
MICHAEL EARL PONTIUS PA-C
Physician Assistant
321 E ALBANY ST
HERKIMER, NY 13350
Herkimer County (315) 867-2884
ANAND DEEPAK BUCH PA-C
Physician Assistant
321 E ALBANY ST
HERKIMER, NY 13350
Herkimer County (315) 867-2700

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 Cassandra Pronti's NPI number?

The NPI number for Cassandra Pronti is 1336791896. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Cassandra Pronti located?

Cassandra Pronti practices at 321 E Albany St, Herkimer, NY 13350. The listed phone number is (315) 867-2700.

What is Cassandra Pronti's specialty?

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

Is Cassandra Pronti enrolled in Medicare?

Yes. Cassandra Pronti 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 Cassandra Pronti affiliated with any hospitals?

According to CMS data, Cassandra Pronti is affiliated with Bassett Healthcare and Little Falls Hospital.

When was this NPI record last updated?

The NPPES record for Cassandra Pronti was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.