DR. JAMES R DORAN (MD) – Family Medicine Physician, NPI 1942249610
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 FAMILY PRACTICE in CT
Provider Addresses for DR. JAMES R DORAN (MD)
629 Middle Tpke E
Manchester, CT 060403731
Phone: (860) 649-6900
Fax: (860) 647-0469
Type: Location
629 MIDDLE TPKE E
MANCHESTER, CT 060403731
Phone: (860) 649-6900
Fax: (860) 647-0469
Type: Location
415 KILLINGWORTH RD
HIGGANUM, CT 064414392
Phone: (860) 345-8535
Fax: (860) 345-8678
Type: Location
5, Founders Street, Willimantic, Windham, Windham County, Connecticut, 06226, United States
SUITE 100
WILLIMANTIC, CT 06226
Phone: (860) 423-9764
Fax: (860) 423-3115
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2012-11-13
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 |
|---|---|---|---|---|
| I20121113000430 | I | Family Practice | 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.
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 | 181 | 115 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 129 | 66 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 100 | 100 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 63 | 63 | $0 |
| G0008 | Administration of influenza virus vaccine | 43 | 43 | $0 |
Insurance plans in this area (ZIP 06040)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | CT | 83036 | Hemoglobin A1C level | 189 | 117 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Cardiovascular Disease (Cardiology) | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine | CT | |
| - | ME | |
| - | CT | |
| - | CT | |
| Clinical Social Worker | CT | |
| - | CT |
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