MRS. JILL WASSERMAN GULLIFORD (PA-C) – Physician Assistant, NPI 1215982624
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. JILL WASSERMAN GULLIFORD (PA-C)
501 Kings Hwy E
Suite 112
Fairfield, CT 068254867
Phone: (203) 382-1900
Fax: (203) 382-0019
Type: Location
950 CAMPBELL AVE
WEST HAVEN, CT 065162770
Phone: (203) 932-5711
Type: Location
Kings Highway East, Bridgeport, Fairfield County, Connecticut, 06604-2386, United States
SUITE 112
FAIRFIELD, CT 068254867
Phone: (203) 382-1900
Fax: (203) 382-0019
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $555.
Total Amount is formed as General ($555) + Research ($0) + Ownership ($0) = $555.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Endologix LLC ($226).
Total Amount
$555
General + Research + Ownership
Payments
17
Total payment records
General Amount
$555
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endologix LLC | $226 |
| Medtronic, Inc. | $158 |
| Boston Scientific Corporation | $85 |
| CORDIS US CORP. | $25 |
| E.R. Squibb & Sons, L.L.C. | $25 |
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: 2011-03-11
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20110311000222 | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 69 | 38 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 51 | 47 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 42 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 06825)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | OH | |
| Physician Assistant | CT | |
| Vascular Surgery | CT | |
| Physician Assistant | CT | |
| Vascular Surgery | CT |
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