GINA RUPERT (PAC) – Medical Physician Assistant, NPI 1184652711
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
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Provider Addresses for GINA RUPERT (PAC)
Senor Panchos, 385, Main Street South, Cedar Land, Southbury, New Haven County, Connecticut, 06488, United States
STE 301 UNION SQUARE
SOUTHBURY, CT 06488
Phone: (203) 264-3319
Fax: (203) 267-6382
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)
CMS reports 15 Open Payments records for all available years, with a total value of $217.
Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.
Last reported payment date: 2024-05-31 • Largest payer in this snapshot: ABBVIE INC. ($156).
Total Amount
$217
General + Research + Ownership
Payments
15
Total payment records
General Amount
$217
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $156 |
| Bayer Healthcare Pharmaceuticals Inc. | $61 |
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: 2006-04-28
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 |
|---|---|---|---|---|
| I20060428000128 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 286 | 127 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 145 | 20 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 118 | 18 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 97 | 97 | $0 |
| 83036 | Hemoglobin a1c level | 56 | 22 | $0 |
Insurance plans in this area (ZIP 06488)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Cardiovascular Disease (Cardiology) | CT | |
| - | CT | |
| Emergency Medicine | RI | |
| - | GA | |
| Physician Assistant | CT | |
| G A S T R O E N T E R O L O G Y | CT | |
| Cardiovascular Disease (Cardiology) | CT | |
| Physician Assistant | CT | |
| General Surgery, Surgical Oncology | CT |
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