JACLYN MARIE MUNOZ (MD) – Obstetrics & Gynecology Physician, NPI 1063932341
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
827 OBSTETRICS/GYNECOLOGY in CT
Provider Addresses for JACLYN MARIE MUNOZ (MD)
292 Long Ridge Rd Ste 202
Stamford, CT 069021627
Phone: (203) 276-4524
Type: Location
245 N 15TH ST # MS 495
PHILADELPHIA, PA 191021101
Phone: (215) 762-8220
Fax: (215) 762-1470
Type: Mailing
15 OLD KINGS HWY
WILTON, CT 068973717
Phone: (214) 449-3064
Type: Mailing
148 EAST AVE STE 2L
NORWALK, CT 068515727
Phone: (203) 276-4524
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $1,714.
Total Amount is formed as General ($1,714) + Research ($0) + Ownership ($0) = $1,714.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: COLOPLAST CORP ($1,600).
Total Amount
$1,714
General + Research + Ownership
Payments
22
Total payment records
General Amount
$1,714
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| COLOPLAST CORP | $1,600 |
| Medtronic, Inc. | $44 |
| Axonics, Inc. | $36 |
| Valencia Technologies Corporation | $19 |
| Boston Scientific Corporation | $14 |
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: 2024-07-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240722000354 | I | Obstetrics/Gynecology | CT | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06902)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CT | |
| Physician Assistant | CT | |
| Family Practice | CT | |
| Physician Assistant | CT | |
| P S Y C H I A T R Y | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CT | |
| Physician Assistant | CT | |
| Internal Medicine | NY | |
| Nurse Practitioner | CT | |
| Nephrology, Internal Medicine | CT |
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