IAN GRAGNOLATI (PA-C) – Physician Assistant, NPI 1689368466
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
Provider Addresses for IAN GRAGNOLATI (PA-C)
25 ROBERTS ST
WINDSOR LOCKS, CT 060962113
Phone: (860) 970-4913
Type: Mailing
836 FARMINGTON AVE STE 207
WEST HARTFORD, CT 061191551
Phone: (860) 232-9911
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $992.
Total Amount is formed as General ($992) + Research ($0) + Ownership ($0) = $992.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($271).
Total Amount
$992
General + Research + Ownership
Payments
26
Total payment records
General Amount
$992
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $271 |
| GENZYME CORPORATION | $235 |
| GlaxoSmithKline, LLC. | $211 |
| LEO Pharma Inc. | $109 |
| BioCryst US Sales Co., LLC | $75 |
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: 2024-06-11
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 |
|---|---|---|---|---|
| I20240611000505 | 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 06096)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Pediatric Medicine, Allergy/Immunology | CT | |
| A L L E R G Y/ I M M U N O L O G Y | CT | |
| Allergy/Immunology, Internal Medicine | CT | |
| Physician Assistant | CT | |
| Allergy/Immunology, Internal Medicine | CT | |
| - | CT | |
| Allergy/Immunology, Internal Medicine | CT |
Reviews
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