Unknown Individual – Urology Physician, NPI 1457647281
Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
19 WOODLAND ST
SUITE 23
HARTFORD, CT 061052372
Phone: (860) 522-2251
Fax: (860) 493-2552
Type: Mailing
30 JORDAN LN
WETHERSFIELD, CT 061091278
Phone: (860) 263-0253
Fax: (860) 263-0262
Type: Mailing
160 HAZARD AVE STE 103
ENFIELD, CT 060824520
Phone: (860) 962-6600
Fax: (860) 962-6866
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 90 Open Payments records for all available years, with a total value of $37,587.
Total Amount is formed as General ($37,587) + Research ($0) + Ownership ($0) = $37,587.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Teleflex LLC ($35,289).
Total Amount
$37,587
General + Research + Ownership
Payments
90
Total payment records
General Amount
$37,587
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $35,289 |
| C. R. Bard, Inc. & Subsidiaries | $503 |
| Medtronic, Inc. | $429 |
| Axonics, Inc. | $389 |
| COLOPLAST CORP | $187 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 4,000 | 12 | $0 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 262 | 205 | $0 |
| 81003 | Automated urinalysis test | 247 | 157 | $0 |
| 52442 | Insertion of implant in urethra within prostate gland using an endoscope, each additional implant | 159 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 117 | 102 | $0 |
Insurance plans in this area (ZIP 06105)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Gastroenterology, Internal Medicine | CT | |
| Pulmonary Disease, Internal Medicine | CT | |
| - | CT | |
| Nurse Practitioner | CT | |
| Internal Medicine, Gastroenterology | CT | |
| Geriatric Medicine, Internal Medicine | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT |
Reviews
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