ROSS G UTTER (PA) – Medical Physician Assistant, NPI 1831156249

ROSS G UTTER (PA) is a healthcare provider. based in Waterbury, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 001124 (CT). The NPI Number for ROSS G UTTER (PA) is 1831156249

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ROSS G UTTER (PA)
NPI
1831156249
Phone
(203) 756-8911
Address
134 GRANDVIEW AVE
Enumeration Date
28 April 2006
Last Update Date
30 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2035969793254
Graduation Year
2001 (25 years ago)
PAC ID
1052400264
Group Practice PAC ID
7113939505
Professional Enrollment ID
I20080404000042
Address ID
CT067082507WA134XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,243 PHYSICIAN ASSISTANT in CT

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Provider Addresses for ROSS G UTTER (PA)

  • 134, Grandview Avenue, West Side Hill, Waterbury, New Haven County, Connecticut, 06708, United States

    WATERBURY, CT 06708

    Phone: (203) 756-8911

    Fax: (203) 574-0548

    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 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-04-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080404000042IPhysician AssistantCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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 06708)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113939505View full group profile
NameSpecialtyState
Physician AssistantCT
Diagnostic RadiologyCT
Diagnostic RadiologyCT
Diagnostic RadiologyNJ
Diagnostic Radiology, NeurologyNY
Diagnostic RadiologyMA
-CT
-CT
Diagnostic RadiologyPA
Diagnostic RadiologyCT

Reviews

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Frequently asked questions

What is the registry number for ROSS G UTTER (PA)?
The registry entry for ROSS G UTTER (PA) shows NPI 1831156249.
Does the public listing show ROSS G UTTER (PA) as active?
ROSS G UTTER (PA)'s NPI record reflects an active status in NPPES.
What services align with ROSS G UTTER (PA)'s listing?
ROSS G UTTER (PA)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ROSS G UTTER (PA)?
ROSS G UTTER (PA) is associated with Waterbury, Connecticut in the same public data insurers reference.
Why is information missing for ROSS G UTTER (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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