DR. CLAUDWARDYNE ALEXIS THEVENIN D.O
NPI 1407152937
Emergency Medicine in Kingston, NY
About Dr. Claudwardyne Alexis Thevenin D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CLAUDWARDYNE ALEXIS THEVENIN D.O (NPI 1407152937) is an individual emergency medicine provider in Kingston, New York, licensed in New York (258924) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with Samaritan Hospital Of Troy, New York, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2007).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Claudwardyne Alexis Thevenin D.o 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.
Medicare Billing Reassignments
4Medicare enrollment records show Claudwardyne Thevenin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Coxsackie, NY 12192
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1497921688 (New York)
- 57 clinicians in this Medicare group
Ballston Lake, NY 12019
- Reassigned Medicare billing, New York enrollment
- 456 clinicians in this Medicare group
Malta, NY 12020
- Reassigned Medicare billing, New York enrollment
- 103 clinicians in this Medicare group
Far Rockaway, NY 11691
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Island Emergency Medical Services PC
- 290 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Samaritan Hospital Of Troy, New York
Acute Care Hospitals · Troy, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Claudwardyne Thevenin's NPI number?
The NPI number for Claudwardyne Thevenin is 1407152937. It was assigned to this individual provider in the NPPES registry on January 31, 2011. The provider is also known as Dr. Claudwardyne Thevenin D.O.
Where is Claudwardyne Thevenin located?
Claudwardyne Thevenin practices at 17 Josephine Ave, Kingston, NY 12401. The listed phone number is (845) 616-5571.
What is Claudwardyne Thevenin's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Claudwardyne Thevenin enrolled in Medicare?
Yes. Claudwardyne Thevenin 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.
Which organizations bill Medicare for Claudwardyne Thevenin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Claudwardyne Thevenin reassigns Medicare benefits to 4 organizations: Albany Medical College (West Coxsackie, NY), Saratoga Hospital (Ballston Lake, NY), Healthcare Partners Of Saratoga Ltd (Malta, NY) and Island Emergency Medical Services, P.C. (Far Rockaway, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Claudwardyne Thevenin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Claudwardyne Thevenin affiliated with any hospitals?
According to CMS data, Claudwardyne Thevenin is affiliated with Samaritan Hospital Of Troy, New York.
When was this NPI record last updated?
The NPPES record for Claudwardyne Thevenin was last updated on January 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Claudwardyne Alexis Thevenin, D.O · NPI 1407152937
Emergency Medicine physician in Kingston, New York. Individual provider, active in the CMS NPPES registry since January 31, 2011.
## Identity
- **NPI:** 1407152937 (Entity type: Individual)
- **Enumerated:** January 31, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 258924 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 17 JOSEPHINE AVE, Kingston, NY 12401-5323
- **Phone:** (845) 616-5571
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Albany Medical College (NPI 1366872244, West Coxsackie, NY); Saratoga Hospital (NPI 1437418795, Ballston Lake, NY); Healthcare Partners Of Saratoga Ltd (NPI 1700159613, Malta, NY); Island Emergency Medical Services, P.C. (NPI 1639160385, Far Rockaway, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2007
## Record status
- **NPPES last updated:** January 31, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1407152937) · Data from the CMS NPPES public registry.