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MARY KATE ETSCORN PA-C
NPI 1972361442
Physician Assistant in Syracuse, NY

Active since March 11, 2024PECOS EnrolledAccepts Medicare Assignment
725 IRVING AVE STE 600, SYRACUSE, NY 13210(315) 464-5162(315) 464-2122 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2026, Nov 24, 2025 (2 updates tracked since 2025).

About Mary Kate Etscorn Pa-c NPPES

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

MARY KATE ETSCORN PA-C (NPI 1972361442) is an individual physician assistant in Syracuse, New York, licensed in New York (034908) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1972361442
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY KATE ETSCORNCredential: PA-C
Location Address725 IRVING AVE STE 600Syracuse, NY 13210-1688
Mailing Address725 Irving Ave Ste 600Syracuse, NY 13210-1688 · (315) 464-5162 · Fax (315) 464-2122
Phone(315) 464-5162
Fax(315) 464-2122
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 11, 2024
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1972361442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 034908
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
725 IRVING AVE STE 600, Syracuse, NY 13210
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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

Mary Kate Etscorn Pa-c 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 ID2567957723
PECOS Enrollment IDI20251224001773
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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.

Other Providers at the Same Location NPPES 6

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

EMMA ELIZABETH PATELLO MD
Obstetrics & Gynecology
725 IRVING AVE STE 600
SYRACUSE, NY 13210
Onondaga County (315) 464-5162
DR. MICHAEL MYRON ALPER M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
725 IRVING AVE STE 600
SYRACUSE, NY 13210
Onondaga County (518) 815-2241
RINKI G AGARWAL M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
725 IRVING AVE STE 600
SYRACUSE, NY 13210
Onondaga County (315) 464-5162
DR. MAUREEN BURKE MD
Obstetrics & Gynecology
725 IRVING AVE STE 600
SYRACUSE, NY 13210
Onondaga County (315) 464-5162
STEPHANIE A STEVENS FNP
Nurse Practitioner (Family)
725 IRVING AVE STE 600
SYRACUSE, NY 13210
Onondaga County (315) 464-5162
MEGAN RIDDICK FNP
Nurse Practitioner (Family)
725 IRVING AVE STE 600
SYRACUSE, NY 13210
Onondaga County (315) 464-5162

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 Mary Etscorn's NPI number?

The NPI number for Mary Etscorn is 1972361442. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Where is Mary Etscorn located?

Mary Etscorn practices at 725 Irving Ave Ste 600, Syracuse, NY 13210. The listed phone number is (315) 464-5162.

What is Mary Etscorn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Etscorn enrolled in Medicare?

Yes. Mary Etscorn 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.

When was this NPI record last updated?

The NPPES record for Mary Etscorn was last updated on March 19, 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.