PLATTSBURGH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, PLLC
NPI 1730865098
Otolaryngology in Plattsburgh, NY

Active since June 22, 2023
79 HAMMOND LN STE 12, PLATTSBURGH, NY 12901(518) 566-7930 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Plattsburgh Otolaryngology-head And Neck Surgery, Pllc NPPES

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

PLATTSBURGH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, PLLC (NPI 1730865098) is a healthcare organization registered as an otolaryngology in Plattsburgh, New York and active in the NPI registry since June 2023. The organization lists Latricia Bass, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730865098
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NamePLATTSBURGH OTOLARYNGOLOGY-HEAD AND NECK SURGERY, PLLC
Location Address79 HAMMOND LN STE 12Plattsburgh, NY 12901-2075
Mailing Address79 Hammond Ln Ste 12Plattsburgh, NY 12901-2075
Organization SubpartNo
Authorized OfficialLatricia BassAdministrator · (407) 637-0973
Enumeration DateJune 22, 2023
Last NPPES UpdateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
✔ NPI 1730865098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
79 HAMMOND LN STE 12, Plattsburgh, NY 12901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Plattsburgh Otolaryngology-head And Neck Surgery, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Plattsburgh Otolaryngology-Head And Neck Surgery, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Otolaryngology
NPI 1215005699
79 HAMMOND LN STE 12
Plattsburgh, NY 12901
(518) 566-7930
✔ PECOSSame address
Nurse Practitioner
NPI 1679725709
154 PROSPECT AVE
Plattsburgh, NY 12901
(872) 231-3162
✔ PECOS✔ Accepts Medicare1.6 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 Plattsburgh Otolaryngology-Head And Neck Surgery, PLLC's NPI number?

The NPI number for Plattsburgh Otolaryngology-Head And Neck Surgery, PLLC is 1730865098. It was assigned to this organization in the NPPES registry on June 22, 2023.

Where is Plattsburgh Otolaryngology-Head And Neck Surgery, PLLC located?

Plattsburgh Otolaryngology-Head And Neck Surgery, PLLC is located at 79 Hammond Ln Ste 12, Plattsburgh, NY 12901. The listed phone number is (518) 566-7930.

What is Plattsburgh Otolaryngology-Head And Neck Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Plattsburgh Otolaryngology-Head And Neck Surgery, PLLC enrolled in Medicare?

Yes. Plattsburgh Otolaryngology-Head And Neck Surgery, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Plattsburgh Otolaryngology-Head And Neck Surgery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Plattsburgh Otolaryngology-Head And Neck Surgery, PLLC, in Nurse Practitioner and Otolaryngology. 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, 1 practice at this address and 2 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 Plattsburgh Otolaryngology-Head And Neck Surgery, PLLC was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.