Matthew J Liepke (NPI# 1245220656, PAC ID# 9739136466) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1245220656 |
| PAC ID by PECOS | 9739136466 |
| Professional Enrollment ID | I20050405001054 |
| Full Name | Matthew J Liepke |
| Organization Legal Name | PORT CITY FAMILY MEDICINE PC INC |
| Address |
33 E Schuyler St Oswego NY 13126-1161 |
| Phone Number | 3153436974 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 2000 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 2567350606 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330218 | OSWEGO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 33 E Schuyler St, Oswego, NY 13126-1161 | 3153436974 | PORT CITY FAMILY MEDICINE PC INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 96% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 18% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 97% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 91% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 15% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 49% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 17% | |
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 92% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 99% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 97% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | PORT CITY FAMILY MEDICINE PC INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corliss A Varnum | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Joan Newell | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Christina M Liepke | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Street Address |
33 E SCHUYLER ST |
| City | OSWEGO |
| State | NY |
| Zip | 13126-1161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corliss A Varnum | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Joan Newell | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Christina M Liepke | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ivan G Proano | Ophthalmology | Ivan G Proano Md Pllc | 15 Bronson St, Oswego, NY 13126-1004 |
| Theresa Check | Certified Nurse Midwife (cnm) | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Raj K Mahajan | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Megan Rae Irland | Physician Assistant | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Daniel G Coty | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Ayesha Lauren Turner | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Judith A Dimarco | Nurse Practitioner | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Tricia R Vivlamore | Nurse Practitioner | 249 A Washington Blvd, Oswego, NY 13126-1751 | |
| Edward J Galvin Jr. | Chiropractic | 11 4th Ave, Oswego, NY 13126-1852 | |
| Gerald Simmons | Family Practice | 11 4th Ave, Oswego, NY 13126-1852 | |
| Find all physicians in zip 13126 | |||
| City | OSWEGO |
| Zip Code | 13126 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | OSWEGO + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.