ADIRONDACK RADIATION THERAPY, PC — NPI 1093938334 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology in PLATTSBURGH, NY)

CMS-1500 Box 24J / 33a • NPI

1093938334

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2085R0001X (CMS 92)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology

Box 32 Service Location & ZIP+4

75 BEEKMAN ST, PLATTSBURGH, NY, 12901-1438

✓ 9-Digit EDI 837 ZIP+4 (12901-1438)

Practice Phone & Referral Fax

(518) 562-7120

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1093938334 (ADIRONDACK RADIATION THERAPY, PC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1093938334` (NPI-2 Organization / Facility)
Provider / Legal Name	ADIRONDACK RADIATION THERAPY, PC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology NUCC Code: `2085R0001X` (N/A)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	75 BEEKMAN ST, PLATTSBURGH, NY, 12901-1438
Practice Telephone / Fax	Tel: (518) 562-7120
Administrative Mailing Address	PO BOX 1305, WILLISTON, VT, 05495-1305
Enumeration & Last Sync	Enumerated: 2007-04-11 \| CMS Record Updated: 2011-09-06
Authorized Official	ANTHONY VACCARO (MD)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

75 BEEKMAN ST, PLATTSBURGH, NY, 12901-1438

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Plain-English Taxonomy & CMS Crosswalk (2085R0001X)

What Does Taxonomy Code 2085R0001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0001X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 92 (Physician/Radiation Oncology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADIRONDACK RADIATION THERAPY, PC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2085R0001X` — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADIRONDACK RADIATION THERAPY, PC (NPI #1093938334)