DERMOT M MCDERMOTT (PA-C) – Medical Physician Assistant, NPI 1457352437

DERMOT M MCDERMOTT (PA-C) is a healthcare provider. based in New haven, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 000997 (CT). The NPI Number for DERMOT M MCDERMOTT (PA-C) is 1457352437

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DERMOT M MCDERMOTT (PA-C)
NPI
1457352437
Phone
(203) 688-8200
Address
874 HOWARD AVE
Enumeration Date
2 August 2005
Last Update Date
9 January 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2033843000
Graduation Year
2000 (26 years ago)
PAC ID
1254340755
Group Practice PAC ID
1254233836
Professional Enrollment ID
I20060411000618
Address ID
CT066102805BR267XXSTXX300
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

3,243 PHYSICIAN ASSISTANT in CT

Loading map...

Provider Addresses for DERMOT M MCDERMOTT (PA-C)

  • 874, Howard Avenue, New Haven, New Haven County, Connecticut, 06519, United States

    NEW HAVEN, CT 065191106

    Phone: (203) 688-8200

    Fax: (203) 688-8204

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-04-11

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
I20060411000618IPhysician AssistantCTTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes487217$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes165102$0
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th7632$0
99497Advance care planning, first 30 minutes1919$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 06519)

Loading plans...

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: 1254233836View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
-CT
-CT
Internal MedicineNJ
Hospitalist, Internal MedicineCT
-CT
-CT
Internal MedicineCT
Nurse PractitionerCT
Physician AssistantCT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to DERMOT M MCDERMOTT (PA-C)?
The federal identifier for DERMOT M MCDERMOTT (PA-C) is NPI 1457352437.
Is DERMOT M MCDERMOTT (PA-C)'s NPI currently valid?
The extract we use shows DERMOT M MCDERMOTT (PA-C) as active.
Does DERMOT M MCDERMOTT (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for DERMOT M MCDERMOTT (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for DERMOT M MCDERMOTT (PA-C)?
The page summarizes New Haven, Connecticut for DERMOT M MCDERMOTT (PA-C); expand the address list for detail.
What if New Haven, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

HEIDI W NOLAN (PA-C)

Medical Physician Assistant
874, Howard Avenue, New Haven, New Haven County, Connecticut, 06519, United States
NPI: 1578564597

MR. CHARLES PARK (P.A.)

Medical Physician Assistant
Yale-New Haven Long Warf Medical Center, 150, Sargent Drive, Long Wharf, City Point, New Haven, New Haven County, Connecticut, 06510, United States
NPI: 1215928072
GU MULTI-SPECIALTY CLINIC, NORTH PAVILION, 4TH FLOOR
NPI: 1689655300

MRS. MEGHAN LYNN QUINTANILLA (PA-C)

Medical Physician Assistant
20 YORK STREET, CB-2041
NPI: 1265413561

MICHAEL SCHULTZ (PA)

Medical Physician Assistant
2200, Whitney Avenue, Centerville, Hamden, New Haven County, Connecticut, 06518, United States
NPI: 1396727533

BETSEY PARK (PA-C)

Medical Physician Assistant
Yale New Haven Hospital, 20, York Street, Downtown, New Haven, New Haven County, Connecticut, 06510, United States
NPI: 1114903101

TARA M HERBERT (PA C)

Physician Assistant
Yale New Haven Hospital, 20, York Street, Downtown, New Haven, New Haven County, Connecticut, 06510, United States
NPI: 1760469944

Unknown Individual

Physician Assistant
20 YORK ST # CB-2041
NPI: 1053389528
20 YORK STREET CB-2041
NPI: 1730149022