SUZANNE TINGLEY (MD) – Family Medicine Physician, NPI 1063834448

SUZANNE TINGLEY (MD) is a healthcare provider. based in Middletown, Connecticut. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 052617 (CT). The NPI Number for SUZANNE TINGLEY (MD) is 1063834448

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNE TINGLEY (MD)
NPI
1063834448
Phone
(860) 358-4820
Address
28 CRESCENT ST
Enumeration Date
20 January 2014
Last Update Date
24 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8603585040
Graduation Year
2011 (15 years ago)
PAC ID
2860615283
Group Practice PAC ID
4082507371
Professional Enrollment ID
I20140603001012
Address ID
CT064801836PO270XXSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Digital endpointsOther names

822 FAMILY PRACTICE in CT

Provider Addresses for SUZANNE TINGLEY (MD)

  • 28 CRESCENT ST

    MIDDLETOWN, CT 064573654

    Phone: (860) 358-4820

    Fax: (860) 358-8661

    Type: Mailing

  • 5 Durham Rd

    Guilford, CT 064372076

    Phone: (203) 453-4444

    Fax: (203) 458-9477

    Type: Location

  • 5 DURHAM RD

    GUILFORD, CT 064372076

    Phone: (203) 459-4444

    Fax: (203) 458-9477

    Type: Mailing

  • 154 MAIN ST

    OLD SAYBROOK, CT 064752373

    Phone: (860) 395-1212

    Fax: (860) 358-8654

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140603001012IFamily PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes334166$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit134134$0
99215Established patient office or other outpatient visit, 40-54 minutes11583$0
36415Insertion of needle into vein for collection of blood sample5852$0
99213Established patient office or other outpatient visit, 20-29 minutes5448$0
View full utilization report →

Insurance plans in this area (ZIP 06457)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082507371View full group profile
NameSpecialtyState
Nurse PractitionerCT
Nurse PractitionerCT
Physician AssistantCT
Family PracticeCT
Physician AssistantCT
-CT
Family PracticeCT
Physician AssistantMA
General SurgeryCT
H O S P I T A L I S TCT

Reviews

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Frequently asked questions

What unique ID ties claims to SUZANNE TINGLEY (MD)?
NPI 1063834448 is assigned to SUZANNE TINGLEY (MD) under the national enumeration system.
Is SUZANNE TINGLEY (MD) currently active in the NPI registry?
CMS-published data lists SUZANNE TINGLEY (MD) as an active registrant.
Does SUZANNE TINGLEY (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for SUZANNE TINGLEY (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for SUZANNE TINGLEY (MD)?
The page summarizes Middletown, Connecticut for SUZANNE TINGLEY (MD); expand the address list for detail.
How can I contact SUZANNE TINGLEY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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