CHAUTAUQUA MEDICAL PRACTICE, P.C.
NPI 1922181767
Family Medicine in Bemus Point, NY
About Chautauqua Medical Practice, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHAUTAUQUA MEDICAL PRACTICE, P.C. (NPI 1922181767) is a healthcare organization registered as a family medicine in Bemus Point, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Paul S Holley, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chautauqua Medical Practice, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
153Medicare enrollment records show 153 clinicians reassign Medicare billing to Chautauqua Medical Practice, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 153Source: 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 33D0966363
Chautauqua Medical Practice PC · Bemus Point, 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 Chautauqua Medical Practice, P.C.'s NPI number?
The NPI number for Chautauqua Medical Practice, P.C. is 1922181767. It was assigned to this organization in the NPPES registry on October 23, 2006.
Where is Chautauqua Medical Practice, P.C. located?
Chautauqua Medical Practice, P.C. is located at 4936 Main St, Bemus Point, NY 14712. The listed phone number is (716) 386-2414.
What is Chautauqua Medical Practice, P.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Chautauqua Medical Practice, P.C. enrolled in Medicare?
Yes. Chautauqua Medical Practice, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chautauqua Medical Practice, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 153 clinicians in 19 Medicare specialties reassign their Medicare billing to Chautauqua Medical Practice, P.C.. 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 Diagnostic Radiology (108), Interventional Radiology (8) and Certified Registered Nurse Anesthetist (CRNA) (7). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Chautauqua Medical Practice, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0966363) 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 Chautauqua Medical Practice, P.C. was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Chautauqua Medical Practice, P.c. · NPI 1922181767
Family Medicine organization in Bemus Point, New York. Organization record, active in the CMS NPPES registry since October 23, 2006.
## Identity
- **NPI:** 1922181767 (Entity type: Organization)
- **Enumerated:** October 23, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Paul Holley, MD
## Practice location
- **Address:** 4936 MAIN ST, Bemus Point, NY 14712
- **Phone:** (716) 386-2414 · **Fax:** (716) 386-2437
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 153 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (108), Interventional Radiology (8), Certified Registered Nurse Anesthetist (CRNA) (7); 3 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1922181767/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2020
- **Other identifiers:** Medicaid 01669929 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922181767) · Data from the CMS NPPES public registry.