MR. BRIAN FILLMORE (PA) – Medical Physician Assistant, NPI 1609819101
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. BRIAN FILLMORE (PA)
Yale New Haven Hospital Saint Raphael Campus, 1450, Chapel Street, Dwight Street Historic District, New Haven, New Haven County, Connecticut, 06511, United States
NEW HAVEN, CT 065114405
Phone: (203) 789-4200
Fax: (203) 789-4245
Type: Location
45, Old Barnabus Road, Woodbridge, South Central Connecticut Planning Region, Connecticut, 06525, United States
WOODBRIDGE, CT 065251947
Phone: (203) 789-4200
Fax: (203) 789-4245
Type: Mailing
2408 WHITNEY AVE
HAMDEN, CT 065183209
Phone: (203) 407-3500
Fax: (203) 407-4244
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: 2006-08-28
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 |
|---|---|---|---|---|
| I20060828000010 | 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 | 30 | 30 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 26 | 26 | $0 |
| 73562 | X-ray of knee, 3 views | 17 | 16 | $0 |
Insurance plans in this area (ZIP 06511)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CT | |
| - | CT | |
| Interventional Pain Management | CT | |
| - | CT | |
| - | CT | |
| Occupational Therapist In Private Practice | CT | |
| Orthopedic Surgery | CT | |
| - | CT | |
| Physical Therapist In Private Practice | CT | |
| Physical Therapist In Private Practice | CT |
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