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JOANNE DETORE PA
NPI 1396724894
Physician Assistant in Glens Falls, NY

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
2 BROAD STREET PLZ, BROAD STREET MEDICAL GROUP, GLENS FALLS, NY 12801(518) 926-1770(518) 926-1799 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joanne Detore Pa NPPES

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

JOANNE DETORE PA (NPI 1396724894) is an individual physician assistant in Glens Falls, New York, licensed in New York (006825) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1396724894
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJOANNE DETORECredential: PA
Location Address2 BROAD STREET PLZ, BROAD STREET MEDICAL GROUPGlens Falls, NY 12801-4363
Mailing AddressPo Box 304Glens Falls, NY 12801-0304 · (518) 926-1770 · Fax (518) 926-1799
Phone(518) 926-1770
Fax(518) 926-1799
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 12, 2006
Last NPPES UpdateJune 6, 2012
✔ NPI 1396724894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 006825
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2 BROAD STREET PLZ, Glens Falls, NY 12801
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Other Identifiers 4

OtherP00055451NY · Rr Medicare
Medicare UPINP34665NY
Medicare PINDD6472NY
Medicaid02340921NY

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

Joanne Detore Pa 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 ID4183718042
PECOS Enrollment IDI20070922000045
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

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.
167 services162 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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
$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.

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.

PATRICIA STEFFEN CRNA
Nurse Anesthetist, Certified Registered
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Warren County (518) 793-0519
CINDY CERRO-CONLON M.D.
Anesthesiology
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Warren County (518) 793-0519
ELIZABETH HUTCHINS ANP
Nurse Practitioner (Adult Health)
2 BROAD STREET PLZ, BROAD STREET MEDICAL GROUP
GLENS FALLS, NY 12801
Warren County (518) 926-1770
ROBERT J COLLETTE PT
Physical Therapist
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Warren County (518) 926-2000
DANIEL DRISCOLL CRNA
Nurse Anesthetist, Certified Registered
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Warren County (518) 793-0519
CATHERINE REICHEN PT
Physical Therapist
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Warren County (518) 926-2000
LAURA A RHODES PT
Physical Therapist
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Warren County (518) 926-2000
RICHARD A HUGHES JR. MD
Otolaryngology
2 BROAD STREET PLZ, ADIRONDACK ENT
GLENS FALLS, NY 12801
Warren County (518) 926-1380

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 Joanne Detore's NPI number?

The NPI number for Joanne Detore is 1396724894. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Joanne Detore located?

Joanne Detore practices at 2 Broad Street Plz Broad Street Medical Group, Glens Falls, NY 12801. The listed phone number is (518) 926-1770.

What is Joanne Detore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joanne Detore enrolled in Medicare?

Yes. Joanne Detore 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 Joanne Detore was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.