AXEL JUERGEN HERRMANNSDOERFER MD
NPI 1821056615
Emergency Medicine in Clifton Park, NY

Active since May 02, 2006PECOS Enrolled
1 TALLOW WOOD DR, CLIFTON PARK, NY 12065(518) 373-4444(518) 373-0663 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 27, 2021, Nov 12, 2019 (2 updates tracked since 2019).

About Axel Juergen Herrmannsdoerfer Md NPPES

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

AXEL JUERGEN HERRMANNSDOERFER MD (NPI 1821056615) is an individual emergency medicine provider in Clifton Park, New York, licensed in New York (202113) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1821056615
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameAXEL JUERGEN HERRMANNSDOERFERCredential: MD
Location Address1 TALLOW WOOD DRClifton Park, NY 12065-2807
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094
Fax(518) 373-0663
Sole ProprietorNo
Enumeration DateMay 2, 2006
Last NPPES UpdateMay 27, 20212 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
NPI 1821056615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 202113
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 202113 (NY)
1 TALLOW WOOD DR, Clifton Park, NY 12065

Secondary Practice Locations 5

Location 1400 Patroon Creek BlvdAlbany, NY 12206-5013 · Phone (518) 445-4444
Location 22 Empire Dr Ste 101Rensselaer, NY 12144-5730 · Phone (518) 286-4960
Location 3377 Church StSaratoga Springs, NY 12866-8641 · Phone (518) 524-4456
Location 479 Vandenburgh AveTroy, NY 12180-6024 · Phone (518) 286-3000
Location 51300 Massachusetts AveTroy, NY 12180-1628 · Phone (518) 268-5234

Other Identifiers 1

Medicaid01666242NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Axel Juergen Herrmannsdoerfer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12065 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims24 services$913.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients

Other Providers at the Same Location NPPES 20

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

Pediatrics
1 TALLOW WOOD DR, SUITE 8
CLIFTON PARK, NY 12065
Physician Assistant
1 TALLOW WOOD DR, SUITE 2
CLIFTON PARK, NY 12065
Advanced Practice Midwife
1 TALLOW WOOD DR, SUITE 2
CLIFTON PARK, NY 12065
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Surgery
1 TALLOW WOOD DR, SUITE 6
CLIFTON PARK, NY 12065
Internal Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Physician Assistant
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Nurse Practitioner
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821056615, enumerated as an "individual" on May 02, 2006.

The provider is located at 1 TALLOW WOOD DR CLIFTON PARK, NY 12065 and the phone number is (518) 373-4444.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.