JEROME L IV HOULE (PA-C) – Surgical Physician Assistant, NPI 1336347087
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
Provider Addresses for JEROME L IV HOULE (PA-C)
84 N Main St Bldg 2
Branford, CT 064053061
Phone: (203) 483-2024
Fax: (203) 483-2520
Type: Location
2408 WHITNEY AVE
HAMDEN, CT 065183209
Phone: (203) 626-0160
Fax: (203) 294-6734
Type: Mailing
2 BARNES INDUSTRIAL RD S
WALLINGFORD, CT 064922486
Phone: (203) 626-0160
Fax: (203) 294-6734
Type: Mailing
435 LEWIS AVE
MERIDEN, CT 064512101
Phone: (203) 694-8209
Type: Location
Medical Office Building, 85, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06106, United States
SUITE 700
HARTFORD, CT 061503765
Phone: (860) 696-2040
Fax: (860) 696-2050
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Molnlycke Health Care US, LLC ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Molnlycke Health Care US, LLC | $26 |
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: 2007-10-26
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 |
|---|---|---|---|---|
| I20071026000179 | 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 |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 35 | 35 | $0 |
Insurance plans in this area (ZIP 06405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | NY | |
| Physician Assistant | CT | |
| Internal Medicine, Hospitalist | TN | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| N E U R O L O G Y | CT | |
| Physician Assistant | CT | |
| Internal Medicine | CT | |
| - | CT | |
| - | CT |
Reviews
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