HEALEY MEDICAL PRACTICE, PLLC
NPI 1457568792
Family Medicine in Canton, NY
About Healey Medical Practice, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALEY MEDICAL PRACTICE, PLLC (NPI 1457568792) is a healthcare organization registered as a family medicine in Canton, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Gregory J Healey, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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)
Healey Medical Practice, 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.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Healey Medical Practice, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D0956796
Gregory J Healey MD Dba Healey Medical Practice · Canton, NYFrequently 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 Healey Medical Practice, PLLC's NPI number?
The NPI number for Healey Medical Practice, PLLC is 1457568792. It was assigned to this organization in the NPPES registry on May 17, 2007.
Where is Healey Medical Practice, PLLC located?
Healey Medical Practice, PLLC is located at 25 Park St, Canton, NY 13617. The listed phone number is (315) 379-9158.
What is Healey Medical Practice, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Healey Medical Practice, PLLC enrolled in Medicare?
Yes. Healey Medical Practice, PLLC is registered in the Medicare PECOS enrollment system.
When is Healey Medical Practice, 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 Healey Medical Practice, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Healey Medical Practice, PLLC. 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. The largest specialties are Nurse Practitioner (5) and Family Practice (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Healey Medical Practice, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0956796) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Healey Medical Practice, PLLC was last updated on October 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Healey Medical Practice, Pllc · NPI 1457568792
Family Medicine organization in Canton, New York. Organization record, active in the CMS NPPES registry since May 17, 2007.
## Identity
- **NPI:** 1457568792 (Entity type: Organization)
- **Enumerated:** May 17, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Gregory Healey, OWNER
## Practice location
- **Address:** 25 PARK ST, Canton, NY 13617-1265
- **Phone:** (315) 379-9158 · **Fax:** (315) 379-9604
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2017
- **Other identifiers:** Medicare PIN DN6061 (NY); Medicare PIN BA1427 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457568792) · Data from the CMS NPPES public registry.