THOMAS W KNEIFEL MD PLLC
NPI 1861598963
Orthopaedic Surgery in Canton, NY

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
95.38/100
CMS Quality Rating
6119 US HIGHWAY 11, CANTON, NY 13617(315) 261-5850 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2021, Sep 27, 2019 (2 updates tracked since 2019).

About Thomas W Kneifel Md Pllc NPPES

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

THOMAS W KNEIFEL MD PLLC (NPI 1861598963) is an individual orthopaedic surgery provider in Canton, New York, licensed in New York (2230681) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and maintains a secondary practice location in Plattsburgh.

NPPES Registry Identity

NPI1861598963
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTHOMAS W KNEIFELCredential: MD PLLC
Location Address6119 US HIGHWAY 11Canton, NY 13617-3991
Mailing Address50 Leroy StPotsdam, NY 13676-1786 · (315) 265-3300 · Fax (315) 261-5852
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateSeptember 15, 2006
Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1861598963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NY · 2230681
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
6119 US HIGHWAY 11, Canton, NY 13617

Other Names 1

Professional Name (2)Thomas W Kneifel Md Pllc

Secondary Practice Location 1

Location 196 Court StPlattsburgh, NY 12901-2733 · Phone (518) 561-2281 · Fax (518) 562-3321

Other Identifiers 1

Medicaid02361833NY

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

Thomas W Kneifel Md Pllc 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 ID547399404
PECOS Enrollment IDI20100602000605
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
220 services140 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
200 services94 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
73 services73 patients

Hospital Affiliations CMS Care Compare 3

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Gouverneur Hospital

Critical Access Hospitals · Gouverneur, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331315
Location77 West Barney StreetGouverneur, NY 13642 · St. Lawrence County
Emergency services

Slhs Massena, Inc

Critical Access Hospitals · Massena, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331322
Location1 Hospital DriveMassena, NY 13662 · St. Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13617 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.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner
6119 US HIGHWAY 11
CANTON, NY 13617
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
6119 US HIGHWAY 11
CANTON, NY 13617
Nurse Practitioner (Family)
6119 US HIGHWAY 11
CANTON, NY 13617
Psychiatry & Neurology (Neurology)
6119 US HIGHWAY 11
CANTON, NY 13617
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6119 US HIGHWAY 11
CANTON, NY 13617
Orthopaedic Surgery
6119 US HIGHWAY 11
CANTON, NY 13617
Otolaryngology
6119 US HIGHWAY 11
CANTON, NY 13617
Physician Assistant
6119 US HIGHWAY 11
CANTON, NY 13617

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 Thomas Kneifel's NPI number?

The NPI number for Thomas Kneifel is 1861598963. It was assigned to this individual provider in the NPPES registry on September 15, 2006. The provider is also known as Thomas W Kneifel MD PLLC.

Where is Thomas Kneifel located?

Thomas Kneifel practices at 6119 Us Highway 11, Canton, NY 13617. The listed phone number is (315) 261-5850.

What is Thomas Kneifel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Kneifel enrolled in Medicare?

Yes. Thomas Kneifel 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.

Is Thomas Kneifel affiliated with any hospitals?

According to CMS data, Thomas Kneifel is affiliated with Canton-Potsdam Hospital, Gouverneur Hospital and Slhs Massena, Inc.

When was this NPI record last updated?

The NPPES record for Thomas Kneifel was last updated on March 31, 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.