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THOMAS DUBE PA
NPI 1417629585
Physician Assistant in Ridgewood, NY

Active since September 28, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6721 FRESH POND RD, RIDGEWOOD, NY 11385(929) 468-9920 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 7, 2025, Jul 8, 2024, Sep 28, 2021 (3 updates tracked since 2021).

About Thomas Dube Pa NPPES

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

THOMAS DUBE PA (NPI 1417629585) is an individual physician assistant in Ridgewood, New York, licensed in Minnesota (15334) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1417629585
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMAS DUBECredential: PA
Location Address6721 FRESH POND RDRidgewood, NY 11385-4562
Mailing Address4300 Market Pte Dr Ste 100Bloomington, MN 55435-5435 · (952) 767-4574
Phone(929) 468-9920
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 28, 2021
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1417629585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MN · 15334✔ Licensed in NY · 027508-01
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.
6721 FRESH POND RD, Ridgewood, NY 11385
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Secondary Practice Location 1

Location 1163 William St Fl 5New York, NY 10038-2602 · Phone (212) 618-6052

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Thomas Dube 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 ID6901297621
PECOS Enrollment IDI20250625003477
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.

Hospital Affiliations CMS Care Compare 3

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11385 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 Thomas Dube's NPI number?

The NPI number for Thomas Dube is 1417629585. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Where is Thomas Dube located?

Thomas Dube practices at 6721 Fresh Pond Rd, Ridgewood, NY 11385. The listed phone number is (929) 468-9920.

What is Thomas Dube's specialty?

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

Is Thomas Dube enrolled in Medicare?

Yes. Thomas Dube 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.

What insurance does Thomas Dube accept?

Health plans from Medica list Thomas Dube as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Dube affiliated with any hospitals?

According to CMS data, Thomas Dube is affiliated with Abbott Northwestern Hospital, M Health Fairview Southdale Hospital and M Health Fairview Ridges Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Dube was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.