DANIEL HORTH MD
NPI 1952391781
Family Medicine in Clinton, NY

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
34 CHENANGO AVE, CLINTON, NY 13323(315) 853-5550(315) 853-5580 Get Directions Write a Review

NPPES record last updated: September 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel Horth Md NPPES

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

DANIEL HORTH MD (NPI 1952391781) is an individual family medicine provider in Clinton, New York, licensed in New York (216809-1) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Emory University School Of Medicine (1986).

NPPES Registry Identity

NPI1952391781
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL HORTHCredential: MD
Location Address34 CHENANGO AVEClinton, NY 13323-1341
Mailing Address34 Chenango AveClinton, NY 13323-1341 · (315) 853-5550 · Fax (315) 853-5580
Fax(315) 853-5580
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1986
Enumeration DateOctober 24, 2005
Last NPPES UpdateSeptember 18, 2013
NPI 1952391781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 216809-1
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
34 CHENANGO AVE, Clinton, NY 13323

Other Identifiers 4

Medicare ID-Type UnspecifiedCC0189NY · Medicare
Other08015666NY · Railroad Medicare
Medicare UPINF54179NY
Medicaid02065112NY

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

Daniel Horth Md 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 ID1456386200
PECOS Enrollment IDI20110107000075
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 2

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 moderate level of decision making, if using time, 30 minutes or more 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.
202 services104 patients
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.
44 services33 patients

Hospital Affiliations CMS Care Compare 3

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Oneida Health Hospital

Acute Care Hospitals · Oneida, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330115
Location321 Genesee StreetOneida, NY 13421 · Madison County
Emergency services Birthing friendly

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13323 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.

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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims366 services$5.67 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims7,319 services$0.36 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$13.70 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$13.99 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$185.99 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 7

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

Nurse Practitioner (Family)
34 CHENANGO AVE
CLINTON, NY 13323
Family Medicine
34 CHENANGO AVE
CLINTON, NY 13323
Physician Assistant (Medical)
34 CHENANGO AVE
CLINTON, NY 13323
Nurse Practitioner (Family)
34 CHENANGO AVE
CLINTON, NY 13323
Nurse Practitioner (Family)
34 CHENANGO AVE
CLINTON, NY 13323
Internal Medicine
34 CHENANGO AVE
CLINTON, NY 13323
Pharmacy (Community/Retail Pharmacy)
34 CHENANGO AVE
CLINTON, NY 13323

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 Daniel Horth's NPI number?

The NPI number for Daniel Horth is 1952391781. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Daniel Horth located?

Daniel Horth practices at 34 Chenango Ave, Clinton, NY 13323. The listed phone number is (315) 853-5550.

What is Daniel Horth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniel Horth enrolled in Medicare?

Yes. Daniel Horth 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 Daniel Horth affiliated with any hospitals?

According to CMS data, Daniel Horth is affiliated with Wynn Hospital, Oneida Health Hospital and Bassett Healthcare.

When was this NPI record last updated?

The NPPES record for Daniel Horth was last updated on September 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.