JASON N DACRUZ (PA) – Physician Assistant, NPI 1417034786
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
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Provider Addresses for JASON N DACRUZ (PA)
270, Farmington Avenue, Farmington, Hartford County, Connecticut, 06032, United States
SUITE 102
FARMINGTON, CT 060321909
Phone: (860) 549-8276
Type: Mailing
Medical Office Building, 85, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06106, United States
SUITE 607
HARTFORD, CT 061065501
Phone: (860) 549-3210
Fax: (860) 247-3803
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $2,578.
Total Amount is formed as General ($2,578) + Research ($0) + Ownership ($0) = $2,578.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Centinel Spine, LLC ($1,311).
Total Amount
$2,578
General + Research + Ownership
Payments
59
Total payment records
General Amount
$2,578
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 |
|---|---|
| Centinel Spine, LLC | $1,311 |
| Stryker Corporation | $491 |
| Globus Medical, Inc. | $228 |
| BIOTRONIK NRO, Inc. | $171 |
| MML US, Inc. | $156 |
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: 2007-12-14
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 |
|---|---|---|---|---|
| I20071214000471 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 291 | 225 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 100 | 19 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 60 | 60 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 60 | 60 | $0 |
| 72120 | X-ray lower and sacral spine, 2-3 views bending views | 57 | 57 | $0 |
Insurance plans in this area (ZIP 06032)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CT | 20610 | Aspiration and/or injection of large joint or joint capsule | 32 | 29 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Physical Therapist In Private Practice | CT | |
| Physical Therapist In Private Practice | CT | |
| Family Practice | CT | |
| Physical Therapist In Private Practice | CT | |
| Occupational Therapist In Private Practice | NY | |
| Internal Medicine | CT | |
| Physical Therapist In Private Practice | CT | |
| Nurse Practitioner | CT | |
| Physical Therapist In Private Practice | CT |
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