ORCHARD PARK FAMILY PRACTICE, PC
NPI 1811000979
Family Medicine in Orchard Park, NY
About Orchard Park Family Practice, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORCHARD PARK FAMILY PRACTICE, PC (NPI 1811000979) is a healthcare organization registered as a family medicine in Orchard Park, New York and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Thomas Degrave, D.o. / President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Orchard Park Family Practice, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Orchard Park Family Practice, PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
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 33D0690304
Orchard Park Family Practice PC · Orchard Park, 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 Orchard Park Family Practice, PC's NPI number?
The NPI number for Orchard Park Family Practice, PC is 1811000979. It was assigned to this organization in the NPPES registry on August 15, 2006.
Where is Orchard Park Family Practice, PC located?
Orchard Park Family Practice, PC is located at 3670 South Benzing Rd Suite A, Orchard Park, NY 14127. The listed phone number is (716) 662-5357.
What is Orchard Park Family Practice, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Orchard Park Family Practice, PC enrolled in Medicare?
Yes. Orchard Park Family Practice, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Orchard Park Family Practice, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Orchard Park Family Practice, PC. 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 Family Practice (7), Nurse Practitioner (5) and Ophthalmology (1). Of these, 5 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Orchard Park Family Practice, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0690304) is associated with this NPI, valid through March 26, 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 Orchard Park Family Practice, PC was last updated on August 23, 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.
# Orchard Park Family Practice, Pc · NPI 1811000979
Family Medicine organization in Orchard Park, New York. Organization record, active in the CMS NPPES registry since August 15, 2006.
## Identity
- **NPI:** 1811000979 (Entity type: Organization)
- **Enumerated:** August 15, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Thomas Degrave, D.O. / PRESIDENT
## Practice location
- **Address:** 3670 SOUTH BENZING RD, SUITE A, Orchard Park, NY 14127
- **Phone:** (716) 662-5357 · **Fax:** (716) 662-2774
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (7), Nurse Practitioner (5), Ophthalmology (1); 5 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2021
- **Other identifiers:** Medicaid 02780692 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811000979) · Data from the CMS NPPES public registry.