Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093746372 Individual Practitioner Male Practitioner

Robert J Berrick , RPA-C

Physician Assistant • Ticonderoga, NY

Professional Overview & Biography Verified Profile Summary

Robert Berrick, RPA-C is a registered healthcare professional specializing in Physician Assistant in Ticonderoga, NY. Practice services are available at 101 ADIRONDACK DR STE 2 under active NPI credentials.

Frequently performed procedures and clinical services include detection test by immunoassay with direct visual observation for influenza virus, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 Adirondack Dr Ste 2

Ticonderoga, NY 128839334

Telephone 5185856708
Fax 5185853260
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ticonderoga, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Ticonderoga, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.3% 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
87804 Detection test by immunoassay with direct visual observation for influenza virus
30 14 $37.00 $16.53
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
15 14 $79.00 $35.28

Medical Specialties & State Licenses

CMS Verified: 2026-04-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 000927

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License VT 550030269

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01273270 (NY)

Practice Associates & Co-Workers

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

15 Associated Practitioners
NPI 1013595560

Doctor of Medicine (M.D.)

Dr. Glen Chapman , MD

Family Medicine

NPI 1073527727

Doctor of Medicine (M.D.)

Dr. Nicholas Montello , DNP FNP

Nurse Practitioner - Family

NPI 1184285751

DNPFNP

Rachel Satter , PA-C

Physician Assistant

NPI 1215634175

Physician Assistant (Certified)

Dorian Gossy , LCSW

Social Worker - Clinical

NPI 1235399064

Licensed Clinical Social Worker

NPI 1255595641

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2026

Physician Assistant (License #000927 in NY)

📍
Updated Practice Location January 02, 2023

Registered at 101 ADIRONDACK DR STE 2, TICONDEROGA, NY 128839334 (Tel: 5185856708)

📍
Updated Business Mailing Address January 02, 2023

Registered at 9 CAREY RD, QUEENSBURY, NY 128047880 (Tel: 5187610300)

👤
Provider Name / Credentials Updated January 02, 2023

Recorded as ROBERT BERRICK, RPA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2023

Physician Assistant (License #550030269 in VT)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 160 ALLEN ST, RUTLAND, VT 057014560 (Tel: 8027757111)

📍
Updated Business Mailing Address July 08, 2007

Registered at 160 ALLEN ST, RUTLAND, VT 057014560 (Tel: 8027757111)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT BERRICK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 05, 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: 1093746372
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2006
Last Update: April 06, 2026
Sole Proprietor: No

Mailing Address

9 Carey Rd

Queensbury, NY 128047880

Phone: 5187610300

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.