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THOMAS GAVIN RPA
NPI 1932252756
Physician Assistant - Medical in Plattsburgh, NY

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
675 STATE ROUTE 3, PLATTSBURGH, NY 12901(518) 566-0672(518) 566-0641 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Gavin Rpa NPPES

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

THOMAS GAVIN RPA (NPI 1932252756) is an individual medical provider in Plattsburgh, New York, licensed in New York (005798) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1932252756
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTHOMAS GAVINCredential: RPA
Location Address675 STATE ROUTE 3Plattsburgh, NY 12901-6562
Mailing Address483 Coolidge Hill RdDiamond Point, NY 12824-2011 · (518) 578-1703
Phone(518) 566-0672
Fax(518) 566-0641
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932252756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 005798
675 STATE ROUTE 3, Plattsburgh, NY 12901
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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 Gavin Rpa 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 ID9032204425
PECOS Enrollment IDI20071001000116
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 11

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, 20-29 minutes 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.
938 services420 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
308 services111 patients
Follow-up nursing facility visit per day, typically 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
138 services42 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
131 services68 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
87 services34 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services63 patients

Hospital Affiliations CMS Care Compare

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
35%278 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
70%407 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers62 claims173 services$5.90 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers34 claims57 services$1.13 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims60 services$2.59 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers31 claims32 services$19.26 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers11 claims11 services$9.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers40 claims41 services$113.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

DR. GLENN S SCHROYER M.D.
Family Medicine
675 STATE ROUTE 3
PLATTSBURGH, NY 12901
Clinton County (518) 566-0672
MARC A DOWNS RPA-C
Physician Assistant (Medical)
675 STATE ROUTE 3
PLATTSBURGH, NY 12901
Clinton County (518) 566-0672
JOSEPH SAMARAS M.D.
Family Medicine
675 STATE ROUTE 3
PLATTSBURGH, NY 12901
Clinton County (518) 566-0672
AFTERHOURS IMAGING, LLC
Radiology (Diagnostic Radiology)
675 STATE ROUTE 3, SUITE 105
PLATTSBURGH, NY 12901
Clinton County (585) 235-3220
LAKE CHAMPLAIN IMAGING PLLC
Radiology (Diagnostic Radiology)
675 STATE ROUTE 3
PLATTSBURGH, NY 12901
Clinton County (518) 572-6333

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 Gavin's NPI number?

The NPI number for Thomas Gavin is 1932252756. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Thomas Gavin located?

Thomas Gavin practices at 675 State Route 3, Plattsburgh, NY 12901. The listed phone number is (518) 566-0672.

What is Thomas Gavin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Thomas Gavin enrolled in Medicare?

Yes. Thomas Gavin 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 Gavin affiliated with any hospitals?

According to CMS data, Thomas Gavin is affiliated with Champlain Valley Physicians Hospital Medical Ctr.

When was this NPI record last updated?

The NPPES record for Thomas Gavin was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.