DR. THEODORE SHUSTER PABST III M.D.
NPI 1508967563
Surgery - Vascular Surgery in Plattsburgh, NY

Active since September 25, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D2280518 · Waiver
86.27/100
CMS Quality Rating
24 HAMMOND LN, PLATTSBURGH, NY 12901(518) 562-7557(518) 562-7559 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theodore Shuster Pabst Iii M.d. NPPES

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

DR. THEODORE SHUSTER PABST III M.D. (NPI 1508967563) is an individual vascular surgery provider in Plattsburgh, New York, licensed in New York (187640) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 19, 2027, and is affiliated with Champlain Valley Physicians Hospital Medical Ctr.

NPPES Registry Identity

NPI1508967563
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. THEODORE SHUSTER PABST IIICredential: M.D.
Location Address24 HAMMOND LNPlattsburgh, NY 12901-2076
Mailing Address24 Hammond LnPlattsburgh, NY 12901-2006 · (518) 562-7557 · Fax (518) 562-7559
Fax(518) 562-7559
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1980
Enumeration DateSeptember 25, 2006
Last NPPES UpdateFebruary 23, 2023
NPPES CertifiedFebruary 23, 2023
NPI 1508967563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in NY · 187640
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
24 HAMMOND LN, Plattsburgh, NY 12901

Other Identifiers 3

Medicaid01276613NY
Other020014148NY · Rr Mcare Indiv
OtherCM1443NY · Rr Medicare Group

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

Dr. Theodore Shuster Pabst Iii M.d. 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 ID5092797811
PECOS Enrollment IDI20040607001013
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.

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 33D2280518

Theodore S Pabst, III MD Dba Champlain Valley Vascular Surgery · Plattsburgh, NY
Active · expires Apr 19, 2027
CLIA Number33D2280518
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorDr. Theodore S. Pabst III
Laboratory Phone(518) 562-7557
Laboratory LocationTheodore S Pabst, III MD Dba Champlain Valley Vascular Surgery11 Hammond Lane, Plattsburgh, NY 12901
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 32

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
4,220 services51 patients
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153
This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.
287 services52 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
174 services135 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
117 services113 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
108 services71 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
98 services80 patients

Hospital Affiliations CMS Care Compare 2

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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.

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.

86.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.16
Improvement Activities40
Cost49.21

Reported Quality Measures

Advance Care Plan
100%307 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%635 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%570 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%641 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 166 patients
Patients screened: 100% · 166 patients
76%37 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 100% · 133 patients
100%133 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
24 HAMMOND LN
PLATTSBURGH, NY 12901
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
24 HAMMOND LN
PLATTSBURGH, NY 12901
Surgery (Vascular Surgery)
24 HAMMOND LN
PLATTSBURGH, NY 12901

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 Theodore Pabst's NPI number?

The NPI number for Theodore Pabst is 1508967563. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Theodore Pabst located?

Theodore Pabst practices at 24 Hammond Ln, Plattsburgh, NY 12901. The listed phone number is (518) 562-7557.

What is Theodore Pabst's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Theodore Pabst enrolled in Medicare?

Yes. Theodore Pabst 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.

Does Theodore Pabst hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2280518) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Theodore Pabst affiliated with any hospitals?

According to CMS data, Theodore Pabst is affiliated with Champlain Valley Physicians Hospital Medical Ctr and The University Of Vermont Health Network-Alice Hy.

When was this NPI record last updated?

The NPPES record for Theodore Pabst was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.