Deactivated NPI 1962679696 Deactivated / Inactive NPI Male Practitioner

Gary N Scidmore , PA-C

Physician Assistant • Glens Falls, NY

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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, Gary Scidmore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 12, 2008

NPI Deactivation Date November 01, 2023

Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Gary Scidmore, PA-C was a registered Physician Assistant practicing in Glens Falls, NY. Throughout an active medical career spanning 15 years, Gary Scidmore provided care at the practice location at 100 PARK ST until profile deactivation on 2023-11-01.

Historical Medicare Part B clinical services included new patient outpatient office visit, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19), established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

100 Park St

Glens Falls, NY 128014413

Telephone 5189261000

Associated Practice Facility / Clinic

🏢 Adirondack Pathology Pc Facility NPI 1477538486

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Glens Falls, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.7 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

65 Specialists

Practicing in Glens Falls, NY (15701 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.1% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$260.00	$62.01
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	12	11	$124.14	$41.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	123	123	$211.74	$62.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	72	$134.82	$47.40
99213 Established patient office or other outpatient visit, typically 15 minutes	42	40	$144.00	$77.62
81003 Automated urinalysis test	32	32	$15.00	$2.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	14	$49.00	$11.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	154	139	$145.46	$63.95
99202 New patient office or other outpatient visit, typically 20 minutes	151	151	$148.96	$65.38
81003 Automated urinalysis test	30	27	$15.00	$2.23
87804 Detection test by immunoassay with direct visual observation for influenza virus	23	23	$40.80	$16.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$210.20	$93.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	15	$49.00	$12.10
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$40.80	$16.39
90471 Administration of 1 vaccine	11	11	$49.00	$12.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	162	150	$146.02	$61.84
99202 New patient office or other outpatient visit, typically 20 minutes	160	160	$148.46	$64.51
81003 Automated urinalysis test	47	46	$15.00	$2.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$216.00	$92.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	26	$48.11	$14.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$212.00	$92.26
87804 Detection test by immunoassay with direct visual observation for influenza virus	20	20	$40.80	$16.22
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	18	18	$40.80	$16.20
71046 X-ray of chest, 2 views	17	17	$55.46	$26.40
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	17	16	$15.00	$6.22
99201 New patient office or other outpatient visit, typically 10 minutes	13	13	$86.00	$38.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	82	82	$1366.39	$145.92
99283 Emergency department visit with low level of medical decision making	57	57	$608.53	$52.38
99284 Emergency department visit with moderate level of medical decision making	57	57	$1001.18	$99.39
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	24	19	$114.00	$7.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	58	58	$1450.00	$149.68
99284 Emergency department visit with moderate level of medical decision making	46	46	$981.00	$101.30
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	32	26	$111.00	$7.22
99283 Emergency department visit with low level of medical decision making	32	32	$653.00	$53.42

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 003205

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Lisbeth Caples , RD, CDN

Dietitian, Registered

NPI 1003318320

Registered Dietitian, CDN

Dr. Isaac Rumpf , PharmD, RPH

Pharmacist

NPI 1003605809

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Dr. Michael Angelucci , MD

Anesthesiology

NPI 1013126093

Doctor of Medicine (M.D.)

Evan Markessinis , PHYSICIAN ASSISTANT

Physician Assistant

NPI 1023505880

PHYSICIANASSISTANT

Dr. Katelyn Ostrander , PharmD

Pharmacist - Emergency Medicine

NPI 1023934536

Doctor of Pharmacy (Pharm.D.)

Gwen Rowland , MSW

Social Worker

NPI 1043748809

Master of Social Work

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated November 01, 2023

Record deactivated on November 01, 2023

✅

NPI Profile Active May 12, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 12, 2008

Registered at 100 PARK ST, GLENS FALLS, NY 128014413 (Tel: 5189261000)

📍

Updated Business Mailing Address May 12, 2008

Registered at 100 PARK ST, GLENS FALLS, NY 128014413 (Tel: 5189261000)

👤

Provider Name / Credentials Updated May 12, 2008

Recorded as GARY SCIDMORE, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2008

Physician Assistant (License #003205 in NY)

🟢

Initial NPI Registration & Enumeration May 12, 2008

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: 1962679696

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 12, 2008

Last Update: May 12, 2008

Deactivation Date: November 01, 2023

Update or Correct Profile

Mailing Address

100 Park St

Glens Falls, NY 128014413

Phone: 5189261000

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.