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Deactivated NPI 1396804431 Deactivated / Inactive NPI Male Practitioner

Dr. Kevin Edward Harrison , MD

Surgery • Rome, 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, Dr. Kevin Harrison has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 06, 2006
NPI Deactivation Date October 13, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Harrison, MD was a registered Surgery practicing in Rome, NY. Throughout an active medical career spanning 17 years, Dr. Harrison provided care at the practice location at 1617 NORTH JAMES STREET until profile deactivation on 2023-10-13.

Historical Medicare Part B clinical services included hyperbaric oxygen under pressure, full body chamber, per 30 minute interval, management and supervision of oxygen chamber therapy per session, removal of muscle and/or tissue, 20.0 sq cm or less. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1617 North James Street
Suite 700

Rome, NY 13440

Telephone 3153370202
Fax 3153378188
Associated Practice Facility / Clinic
🏢 Rome Surgical Group Llc Facility NPI 1467448951

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Rome, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Rome, NY (2269 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.8% 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 (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0277 Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval
2,883 27 $750.09 $206.04
99183 Management and supervision of oxygen chamber therapy per session
961 27 $757.02 $125.42
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
216 13 $1000.00 $280.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
16 16 $250.00 $194.52

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 163273

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1598765042

Doctor of Medicine (M.D.)

NPI 1740318070

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated October 13, 2023

Record deactivated on October 13, 2023

NPI Profile Active September 18, 2017

NPI status registered as active in NPPES database

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Updated Practice Location September 18, 2017

Registered at 290 COMMUNITY DR, GREAT NECK, NY 110215504 (Tel: 5164871902)

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Updated Business Mailing Address September 18, 2017

Registered at 290 COMMUNITY DR, GREAT NECK, NY 110215504 (Tel: (516) 487-1902)

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Provider Name / Credentials Updated September 18, 2017

Recorded as KEVIN HARRISON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2017

Surgery (License #163273 in NY)

NPI Profile Active September 07, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 07, 2011

Registered at 1617 NORTH JAMES STREET, SUITE 700, ROME, NY 13440 (Tel: 3153370202)

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Updated Business Mailing Address September 07, 2011

Registered at 1819 BLACK RIVER BLVD, ROME, NY 13440 (Tel: 3153370429)

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Provider Name / Credentials Updated September 07, 2011

Recorded as KEVIN HARRISON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2011

Surgery (License #163273 in NY)

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Initial NPI Registration & Enumeration December 06, 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: 1396804431
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2006
Last Update: September 07, 2011
Deactivation Date: October 13, 2023

Mailing Address

1819 Black River Blvd

Rome, NY 13440

Phone: 3153370429

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.