MRS. ANN LILLIAN SEMOLIC (M.D.) – Internal Medicine Physician, NPI 1134180789
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. ANN LILLIAN SEMOLIC (M.D.)
5, Dunham Pond Road, Storrs, Mansfield, Capitol Planning Region, Connecticut, 06268, United States
MANSFIELD, CT 062682024
Phone:
Type: Mailing
14, Quarry Street, Willimantic, Windham, Windham County, Connecticut, 06226, United States
WILLIMANTIC, CT 062261232
Phone: (860) 423-6733
Fax: (860) 450-1348
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: 2009-12-05
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 |
|---|---|---|---|---|
| I20091205000081 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 78 | 71 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 37 | 32 | $0 |
| 83036 | Hemoglobin a1c level | 15 | 15 | $0 |
Insurance plans in this area (ZIP 06268)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | CT | 81002 | Urinalysis, manual test | 128 | 113 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT | |
| - | CT | |
| - | MA | |
| - | CT | |
| Internal Medicine | IL | |
| - | CT | |
| - | CT | |
| Nurse Practitioner | CT | |
| - | CT | |
| Internal Medicine | CT |
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