EVAN WYNNE HARRIS (M.D.) – Vascular & Interventional Radiology Physician, NPI 1255340865

EVAN WYNNE HARRIS (M.D.) is a healthcare provider. based in Glastonbury, Connecticut. specializing in INTERVENTIONAL RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME65745 (FL). The NPI Number for EVAN WYNNE HARRIS (M.D.) is 1255340865

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
EVAN WYNNE HARRIS (M.D.)
NPI
1255340865
Phone
(727) 452-8777
Address
622 HEBRON AVE STE 103
Enumeration Date
5 August 2006
Last Update Date
3 April 2018

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
8558308346
Graduation Year
1988 (38 years ago)
PAC ID
4981888567
Group Practice PAC ID
8820232713
Professional Enrollment ID
I20170508000216
Address ID
CT064162622CR136XXRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:19State licenses:3Digital endpointsOther names

144 INTERVENTIONAL RADIOLOGY in CT

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Provider Addresses for EVAN WYNNE HARRIS (M.D.)

  • Hebron Avenue, Glastonbury, Capitol Planning Region, Connecticut, 06033, United States

    GLASTONBURY, CT 060335003

    Phone: (727) 452-8777

    Type: Location

  • Greenway Center Drive, Greenbelt, Prince George's County, Maryland, 20770, United States

    GREENBELT, MD 207703500

    Phone: (855) 830-8346

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $495.

Total Amount is formed as General ($495) + Research ($0) + Ownership ($0) = $495.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Organogenesis Inc. ($274).

Total Amount

$495

General + Research + Ownership

Payments

20

Total payment records

General Amount

$495

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-05-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170508000216IInterventional RadiologyCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93971Ultrasound study of one arm or leg veins with compression and maneuvers27398$0
93970Ultrasound study of arm or leg veins with compression and maneuvers138100$0
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance11544$0
99213Established patient office or other outpatient visit, 20-29 minutes9566$0
99204New patient office or other outpatient visit, 45-59 minutes7878$0
View full utilization report →

Insurance plans in this area (ZIP 06033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820232713View full group profile
NameSpecialtyState
Interventional RadiologyNY
General SurgeryCT
Internal MedicineCT
Emergency MedicineCT

Reviews

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Frequently asked questions

What is the 10-digit NPI for EVAN WYNNE HARRIS (M.D.)?
EVAN WYNNE HARRIS (M.D.) — NPI 1255340865 — is the standard way to identify this listing.
Is EVAN WYNNE HARRIS (M.D.) listed as active for patients and plans?
The listing shows EVAN WYNNE HARRIS (M.D.) as active in the NPI system.
What healthcare role does EVAN WYNNE HARRIS (M.D.) hold?
Scheduling teams often label EVAN WYNNE HARRIS (M.D.) under Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What area does EVAN WYNNE HARRIS (M.D.) serve?
EVAN WYNNE HARRIS (M.D.)'s listing highlights Glastonbury, Connecticut; more addresses can appear in NPPES.
Why does EVAN WYNNE HARRIS (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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