Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1013985704 Deactivated / Inactive NPI Female Practitioner

Mindy S Mifsud , R PAC

Pediatrics • Glens Falls, NY

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mindy Mifsud has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 09, 2006
NPI Deactivation Date October 02, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Mindy Mifsud, R PAC was a registered Pediatrics practicing in Glens Falls, NY. Throughout an active medical career spanning 18 years, Mindy Mifsud provided care at the practice location at 154 WARREN ST until profile deactivation on 2024-10-02.

Historical Medicare Part B clinical services included established patient outpatient office visit, infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r, infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

154 Warren St

Glens Falls, NY 12801

Telephone 5187989985
Fax 5187617043
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Glens Falls, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
19 Specialists

Practicing in Glens Falls, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
34 34 $241.65 $65.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
32 32 $399.41 $99.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
22 22 $158.95 $34.86
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r
17 17 $263.00 $70.95
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within
12 12 $63.00 $25.00

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 0024151

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
NPI 1154715720

Doctor of Osteopathic Medicine (D.O.)

Maria Gebremichael , FNP-C

Nurse Practitioner - Family

NPI 1215597471

Family Nurse Practitioner (Certified)

NPI 1265531883

Doctor of Medicine (M.D.)

NPI 1295703981

MDFAAP

NPI 1336117019

MDFAAP

Ashley Novak , PA-C

Physician Assistant

NPI 1336581073

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 02, 2024

Record deactivated on October 02, 2024

NPI Profile Active December 01, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 01, 2011

Registered at 154 WARREN ST, GLENS FALLS, NY 12801 (Tel: 5187989985)

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Updated Business Mailing Address December 01, 2011

Registered at 154 WARREN ST, PO BOX 141, GLENS FALLS, NY 12801 (Tel: 5187989985)

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Provider Name / Credentials Updated December 01, 2011

Recorded as MINDY MIFSUD, R PAC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2011

Pediatrics (License #0024151 in NY)

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Initial NPI Registration & Enumeration March 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013985704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2006
Last Update: December 01, 2011
Deactivation Date: October 02, 2024

Mailing Address

154 Warren St, Po Box 141

Glens Falls, NY 12801

Phone: 5187989985

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.