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DAVID PORTER NPP
NPI 1386139285
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, NY

Active since June 25, 2018PECOS EnrolledAccepts Medicare Assignment
4000 MEDICAL CENTER DR, STE 504, FAYETTEVILLE, NY 13066(315) 329-2650(315) 744-1925 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2023, Jan 23, 2020, Jul 18, 2018 and 1 more (4 updates tracked since 2018).

About David Porter Npp NPPES

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

DAVID PORTER NPP (NPI 1386139285) is an individual psychiatric/mental health provider in Fayetteville, New York, licensed in New York (402419) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1386139285
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDAVID PORTERCredential: NPP
Location Address4000 MEDICAL CENTER DR, STE 504Fayetteville, NY 13066
Mailing Address4000 Medical Center Dr, Suite 504Fayetteville, NY 13066 · (315) 329-2650 · Fax (315) 744-1925
Phone(315) 329-2650
Fax(315) 744-1925
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 25, 2018
Last NPPES UpdateFebruary 2, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
✔ NPI 1386139285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 402419
Also ListedRegistered NurseTaxonomy 163W00000X · License 625493 (NY)
4000 MEDICAL CENTER DR, Fayetteville, NY 13066
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Secondary Practice Location 1

Location 1742 James StSyracuse, NY 13203-2017 · Phone (315) 703-2745 · Fax (315) 703-2730

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

David Porter Npp 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 ID4688922339
PECOS Enrollment IDI20180813001550
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.
137 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services11 patients

Hospital Affiliations CMS Care Compare

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

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 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.

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.

RUI WANG
Acupuncturist
4000 MEDICAL CENTER DR, SUITE 209
FAYETTEVILLE, NY 13066
Onondaga County (315) 329-7666
UNITY MOVE PHYSICAL THERAPY WELLNESS PLLC
Clinic/Center (Physical Therapy)
4000 MEDICAL CENTER DR, STE 108
FAYETTEVILLE, NY 13066
Onondaga County (315) 961-6007
TARA BRACKLEY OD
Optometrist
4000 MEDICAL CENTER DR, SUITE 207
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-1010
GERARD S RODZIEWICZ MD
Neurological Surgery
4000 MEDICAL CENTER DR, SUITE 108
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-7900
DEVYN LEIGH HARDY FNP-C
Nurse Practitioner (Family)
4000 MEDICAL CENTER DR, UNIT 110
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
ROSHAN GHIMIRE MD
Family Medicine
4000 MEDICAL CENTER DR, SUITE 104
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-7878
DENISE C. WOLKEN, MD PLLC
Pediatrics
4000 MEDICAL CENTER DR, SUITE 214
FAYETTEVILLE, NY 13066
Onondaga County (315) 991-4180
LAUREN KRISAK GILKEY RPA-C
Physician Assistant
4000 MEDICAL CENTER DR, SUITE 101 D
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-7878

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 David Porter's NPI number?

The NPI number for David Porter is 1386139285. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is David Porter located?

David Porter practices at 4000 Medical Center Dr Ste 504, Fayetteville, NY 13066. The listed phone number is (315) 329-2650.

What is David Porter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is David Porter enrolled in Medicare?

Yes. David Porter 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 David Porter affiliated with any hospitals?

According to CMS data, David Porter is affiliated with St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for David Porter was last updated on February 2, 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.