MR. JUSTIN CHAMPAGNE (PA-C) – Medical Physician Assistant, NPI 1073697108
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
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Provider Addresses for MR. JUSTIN CHAMPAGNE (PA-C)
134, Grandview Avenue, West Side Hill, Waterbury, New Haven County, Connecticut, 06708, United States
WATERBURY, CT 067082507
Phone: (203) 756-8911
Fax: (203) 574-0548
Mailing address matches the actual address.
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: 2006-01-20
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 |
|---|---|---|---|---|
| I20060120000350 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 32555 | Aspiration of fluid from chest cavity using imaging guidance | 102 | 67 | $0 |
| 36573 | Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older | 93 | 82 | $0 |
| 36410 | Insertion of needle into vein (3 years or older) | 75 | 71 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 75 | 71 | $0 |
| 49083 | Drainage of fluid from abdominal cavity using imaging guidance | 43 | 16 | $0 |
Insurance plans in this area (ZIP 06708)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CT | 20610 | Aspiration and/or injection of large joint or joint capsule | 19 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology, Neurology | NY | |
| Diagnostic Radiology | MA | |
| - | CT | |
| - | CT | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | CT |
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