Unknown Individual – Family Medicine Physician, NPI 1649209107
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1950, Main Street, Stratford Center Historic District, Stratford, Greater Bridgeport Planning Region, Connecticut, 06615, United States
STRATFORD, CT 066156339
Phone: (203) 377-6923
Fax: (203) 377-8816
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $179.
Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.
Last reported payment date: 2023-09-21 • Largest payer in this snapshot: ABBVIE INC. ($74).
Total Amount
$179
General + Research + Ownership
Payments
10
Total payment records
General Amount
$179
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-21
Latest reported date
Top Companies
Largest payers in this snapshot
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.
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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 |
|---|---|---|---|---|
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 154 | 55 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 146 | 74 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 65 | 65 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 21 | $0 |
Insurance plans in this area (ZIP 06615)
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