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TABATHA JORGENSEN
NPI 1477950400
Physician Assistant in Syracuse, NY

Active since November 19, 2014PECOS EnrolledAccepts Medicare Assignment
736 IRVING AVE STE 340, SYRACUSE, NY 13210(315) 470-7747 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2021, Feb 19, 2019, May 9, 2016 (3 updates tracked since 2016).

About Tabatha Jorgensen NPPES

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

TABATHA JORGENSEN (NPI 1477950400) is an individual physician assistant in Syracuse, New York, licensed in New York (018386) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1477950400
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTABATHA JORGENSEN
Location Address736 IRVING AVE STE 340Syracuse, NY 13210-1687
Mailing Address1001 W Fayette St, Suite 400Syracuse, NY 13204-2859 · (315) 701-2550 · Fax (315) 701-2551
Phone(315) 470-7747
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 19, 2014
Last NPPES UpdateMarch 12, 20213 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
✔ NPI 1477950400 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 · 018386
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.
736 IRVING AVE STE 340, Syracuse, NY 13210
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Secondary Practice Location 1

Location 1739 Irving Ave, Suite 600Syracuse, NY 13210-1651 · Phone (315) 701-2550 · Fax (315) 701-2551

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

Tabatha Jorgensen 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 ID4587981477
PECOS Enrollment IDI20150403000363
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 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.

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.
238 services175 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
160 services132 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
54 services54 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
40 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Crouse Hospital

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330203
Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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.

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 Tabatha Jorgensen's NPI number?

The NPI number for Tabatha Jorgensen is 1477950400. It was assigned to this individual provider in the NPPES registry on November 19, 2014.

Where is Tabatha Jorgensen located?

Tabatha Jorgensen practices at 736 Irving Ave Ste 340, Syracuse, NY 13210. The listed phone number is (315) 470-7747.

What is Tabatha Jorgensen's specialty?

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

Is Tabatha Jorgensen enrolled in Medicare?

Yes. Tabatha Jorgensen 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.

Is Tabatha Jorgensen affiliated with any hospitals?

According to CMS data, Tabatha Jorgensen is affiliated with Crouse Hospital and Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Tabatha Jorgensen was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.