ADIRONDACK INTERVENTIONAL PHYSIATRY PC
NPI 1821166166
Pain Medicine - Interventional Pain Medicine in Plattsburgh, NY
About Adirondack Interventional Physiatry Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADIRONDACK INTERVENTIONAL PHYSIATRY PC (NPI 1821166166), doing business as Champlain Spine & Pain Mgt, is a healthcare organization registered as an interventional pain medicine in Plattsburgh, New York and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through January 14, 2027, maintains a secondary practice location in Colchester, and lists Thierry Bonnabesse, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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)
Adirondack Interventional Physiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Adirondack Interventional Physiatry PC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (11)
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 33D1094307
Adirondack Interventional Physiatry PC D/B/A Champlain Spine And Pain Management · Plattsburgh, 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 Adirondack Interventional Physiatry PC's NPI number?
The NPI number for Adirondack Interventional Physiatry PC is 1821166166. It was assigned to this organization in the NPPES registry on December 4, 2006. The provider is doing business as Champlain Spine & Pain Mgt.
Where is Adirondack Interventional Physiatry PC located?
Adirondack Interventional Physiatry PC is located at 4 Feathers Dr, Plattsburgh, NY 12901. The listed phone number is (518) 324-7246.
What is Adirondack Interventional Physiatry PC's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Adirondack Interventional Physiatry PC enrolled in Medicare?
Yes. Adirondack Interventional Physiatry PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Adirondack Interventional Physiatry PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Adirondack Interventional Physiatry 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 Nurse Practitioner (5), Certified Registered Nurse Anesthetist (CRNA) (2) and Pain Management (2). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Adirondack Interventional Physiatry PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1094307) is associated with this NPI, valid through January 14, 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 Adirondack Interventional Physiatry PC was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Adirondack Interventional Physiatry Pc · NPI 1821166166
Interventional Pain Medicine organization in Plattsburgh, New York. Organization record, active in the CMS NPPES registry since December 4, 2006.
## Identity
- **NPI:** 1821166166 (Entity type: Organization)
- **Enumerated:** December 4, 2006
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Also known as:** Champlain Spine & Pain Mgt (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Thierry Bonnabesse, OWNER/PRESIDENT
## Practice location
- **Address:** 4 FEATHERS DR, Plattsburgh, NY 12901-6461
- **Phone:** (518) 324-7246 · **Fax:** (518) 324-3366
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Certified Registered Nurse Anesthetist (CRNA) (2), Pain Management (2); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2026
- **Other identifiers:** Other P00158767 (NY)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1821166166) · Data from the CMS NPPES public registry.