MARY T PRONOVOST (M.D.) – Surgery Physician, NPI 1851350011
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
525 GENERAL SURGERY in CT
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Provider Addresses for MARY T PRONOVOST (M.D.)
5520, Park Avenue, Trumbull, Fairfield County, Connecticut, 06604, United States
SUITE 101
TRUMBULL, CT 066113463
Phone: (203) 254-2381
Fax: (203) 255-8515
Type: Mailing
226, Mill Hill Avenue, Historic East Side, Bridgeport, Fairfield County, Connecticut, 06610, United States
3RD FLOOR
BRIDGEPORT, CT 066102811
Phone: (203) 384-3873
Fax: (203) 384-3829
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $271.
Total Amount is formed as General ($271) + Research ($0) + Ownership ($0) = $271.
Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Elucent Medical ($252).
Total Amount
$271
General + Research + Ownership
Payments
3
Total payment records
General Amount
$271
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Elucent Medical | $252 |
| AstraZeneca Pharmaceuticals LP | $19 |
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: 2020-10-19
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 |
|---|---|---|---|---|
| I20201019000302 | I | General Surgery | PA | 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 | 45 | 40 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
| 19301 | Partial removal of breast | 12 | 11 | $0 |
| 38525 | Biopsy or removal of deep lymph nodes of underarm | 12 | 12 | $0 |
Insurance plans in this area (ZIP 06611)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| A N E S T H E S I O L O G Y | PA | |
| Pulmonary Disease, Critical Care (Intensivists), Hospitalist | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | PA | |
| Pulmonary Disease, Critical Care (Intensivists) | PA | |
| General Surgery | PA | |
| - | PA | |
| P A T H O L O G Y | PA | |
| - | PA |
Reviews
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