DR. JACKSON P MAILLE (MD) – Family Medicine Physician, NPI 1255443479
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 FAMILY PRACTICE in CT
Provider Addresses for DR. JACKSON P MAILLE (MD)
1290 SILAS DEANE HWY
HHC CVO
WETHERSFIELD, CT 061094337
Phone: (860) 972-5507
Fax: (860) 972-7040
Type: Mailing
2800 MAIN ST
BRIDGEPORT, CT 066064201
Phone: (475) 210-5440
Fax: (475) 210-5022
Type: Location
61 Pomeroy Ave Unit 1
Meriden, CT 064507483
Phone: (203) 694-5340
Fax: (203) 285-8466
Type: Location
185, Center Street, Wallingford, New Haven County, Connecticut, 06492, United States
STE 2A
WALLINGFORD, CT 06492
Phone: (203) 679-0055
Fax: (203) 679-0060
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $979.
Total Amount is formed as General ($979) + Research ($0) + Ownership ($0) = $979.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($466).
Total Amount
$979
General + Research + Ownership
Payments
29
Total payment records
General Amount
$979
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $466 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $250 |
| Bayer Healthcare Pharmaceuticals Inc. | $191 |
| Novo Nordisk Inc | $72 |
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: 2004-07-22
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 |
|---|---|---|---|---|
| I20040722000900 | I | Family Practice | 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 | 150 | 79 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 42 | $0 |
| 83036 | Hemoglobin a1c level | 26 | 16 | $0 |
| G0008 | Administration of influenza virus vaccine | 23 | 23 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 21 | 21 | $0 |
Insurance plans in this area (ZIP 06109)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | CT | 82270 | Stool analysis for blood to screen for colon tumors | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT | |
| - | CT | |
| - | MA | |
| - | CT | |
| Internal Medicine | IL | |
| - | CT | |
| - | CT | |
| Nurse Practitioner | CT | |
| - | CT | |
| Internal Medicine | CT |
Reviews
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