Unknown Individual – Medical Physician Assistant, NPI 1639170681
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2110, Silas Deane Highway, Rocky Hill, Hartford County, Connecticut, 06067, United States
ROCKY HILL, CT 060672313
Phone: (860) 258-3470
Fax: (860) 571-6800
Type: Mailing
1260, Silas Deane Highway, South Wethersfield, Wethersfield, Hartford County, Connecticut, 06109, United States
WETHERSFIELD, CT 061094362
Phone: (860) 258-2375
Fax: (860) 571-6805
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2023-05-25 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pharmacyclics LLC, an AbbVie Company | $27 |
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 208 | 127 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 19 | $0 |
Insurance plans in this area (ZIP 06067)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Cardiovascular Disease (Cardiology) | CT | |
| - | CT | |
| Emergency Medicine | RI | |
| - | GA | |
| Physician Assistant | CT | |
| G A S T R O E N T E R O L O G Y | CT | |
| Cardiovascular Disease (Cardiology) | CT | |
| Physician Assistant | CT | |
| General Surgery, Surgical Oncology | CT |
Reviews
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