PACEY PET (M.D.) – Internal Medicine Physician, NPI 1407828700

PACEY PET (M.D.) is a healthcare provider. based in New milford, Connecticut. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 30074 (CT). The NPI Number for PACEY PET (M.D.) is 1407828700

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
PACEY PET (M.D.)
NPI
1407828700
Phone
(860) 799-5900
Address
146 DANBURY RD
Enumeration Date
2 February 2006
Last Update Date
3 March 2017

Doctor Profile

Medical School Name
GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Secondary Phone
8607995900
Graduation Year
1986 (40 years ago)
PAC ID
4183510803
Group Practice PAC ID
6800173345
Professional Enrollment ID
I20091203000738
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PACEY PET (M.D.)

  • 146, Danbury Road, Lanesville, New Milford, Litchfield County, Connecticut, 06776, United States

    NEW MILFORD, CT 067763427

    Phone: (860) 799-5900

    Fax: (860) 799-5902

    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 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-01-13 • Largest payer in this snapshot: Novo Nordisk Inc ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$25
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: 2009-12-03

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
I20091203000738IInternal MedicineCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06776)

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Provider's Procedures

PACEY PET (M.D.) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINECT81002Urinalysis, manual test3325

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: 6800173345View full group profile
NameSpecialtyState
-CT

Reviews

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Frequently asked questions

Is PACEY PET (M.D.) listed with a National Provider Identifier?
Yes — PACEY PET (M.D.) has NPI 1407828700 on file in the registry.
Is PACEY PET (M.D.) shown as active in public data?
Registry records indicate PACEY PET (M.D.) maintains an active NPI.
What area of care is associated with PACEY PET (M.D.)?
PACEY PET (M.D.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Connecticut is PACEY PET (M.D.) registered?
Use New Milford, Connecticut as the headline location for PACEY PET (M.D.) here.
When was this NPI issued?
Enumeration for PACEY PET (M.D.) is noted as February 2, 2006 where the registry provides it.

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