MOUNTAIN MEDICAL PRIMARY CARE, PLLC
NPI 1427100262
Specialist in Lake Placid, NY

Active since January 18, 2007
1927 SARANAC AVE, LAKE PLACID, NY 12946(518) 523-7575 Get Directions Write a Review

NPPES record last updated: December 16, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mountain Medical Primary Care, Pllc NPPES

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

MOUNTAIN MEDICAL PRIMARY CARE, PLLC (NPI 1427100262) is a healthcare organization registered as a specialist in Lake Placid, New York and active in the NPI registry since January 2007. The organization lists Michael Pond, Owner, as its authorized official.

NPPES Registry Identity

NPI1427100262
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMOUNTAIN MEDICAL PRIMARY CARE, PLLC
Location Address1927 SARANAC AVELake Placid, NY 12946-1172
Mailing Address1927 Saranac AveLake Placid, NY 12946-1112 · (518) 523-7575 · Fax (518) 523-7577
Organization SubpartNo
Authorized OfficialMichael PondOwner · (518) 523-7575
Enumeration DateJanuary 18, 2007
Last NPPES UpdateDecember 16, 2015
✔ NPI 1427100262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1927 SARANAC AVE, Lake Placid, NY 12946

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Medical Primary Care, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20100208000343Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Mountain Medical Primary Care, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1831288216
1927 SARANAC AVE SUITE 100
Lake Placid, NY 12946
(518) 523-7575
✔ PECOSSame address
Internal Medicine
NPI 1740254069
1927 SARANAC AVE SUITE 100
Lake Placid, NY 12946
(518) 523-7575
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1962472514
1927 SARANAC AVE SUITE 100
Lake Placid, NY 12946
(518) 523-7575
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1992808315
309 COUNTY RT 47 SUITE #2
Saranac Lake, NY 12983
(518) 891-1733
✔ PECOS7.3 mi
Nurse Practitioner
NPI 1316245236
12 ELM ST
Potsdam, NY 13676
(315) 353-2572
✔ PECOS✔ Accepts Medicare55 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mountain Medical Primary Care, PLLC's NPI number?

The NPI number for Mountain Medical Primary Care, PLLC is 1427100262. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Mountain Medical Primary Care, PLLC located?

Mountain Medical Primary Care, PLLC is located at 1927 Saranac Ave, Lake Placid, NY 12946. The listed phone number is (518) 523-7575.

What is Mountain Medical Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mountain Medical Primary Care, PLLC enrolled in Medicare?

Yes. Mountain Medical Primary Care, PLLC is registered in the Medicare PECOS enrollment system.

When is Mountain Medical Primary Care, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mountain Medical Primary Care, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Mountain Medical Primary Care, PLLC, in Emergency Medicine, Family Practice, Internal Medicine, Nurse Practitioner and Obstetrics/Gynecology. A 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 the clinician's services. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mountain Medical Primary Care, PLLC was last updated on December 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.