TRACY BYLAN (PA) – Physician Assistant, NPI 1457446874
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
Provider Addresses for TRACY BYLAN (PA)
1290 SILAS DEANE HWY
HHC-CVO
WETHERSFIELD, CT 061094337
Phone:
Type: Mailing
35 TALCOTTVILLE RD STE 5
VERNON, CT 060665261
Phone: (860) 249-8711
Type: Location
1000, Asylum Avenue, Asylum Avenue District Historic District, Hartford, Hartford County, Connecticut, 06105, United States
STE 3208
HARTFORD, CT 061051702
Phone: (860) 685-8951
Type: Mailing
410, Saybrook Road, Middletown, Middlesex County, Connecticut, 06457, United States
SUITE 100
MIDDLETOWN, CT 064574777
Phone: (860) 685-8951
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2006-01-20
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 |
|---|---|---|---|---|
| I20060120000058 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | CT | |
| Internal Medicine | CT | |
| - | NC | |
| Orthopedic Surgery | CT | |
| Orthopedic Surgery | CT | |
| Orthopedic Surgery | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Orthopedic Surgery | CT | |
| Internal Medicine | CT |
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