DR. FONDA GRAVINO (M.D.) – Family Medicine Physician, NPI 1952396020
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 FAMILY PRACTICE in CT
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Provider Addresses for DR. FONDA GRAVINO (M.D.)
99, Woodland Street, Collins and Townley Streets Historic District, Asylum Hill, Hartford, Connecticut, 06105, United States
HARTFORD, CT 061051207
Phone: (860) 714-4212
Fax: (860) 714-8080
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)
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: 2012-03-07
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 |
|---|---|---|---|---|
| I20120307000557 | 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 | 53 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 41 | $0 |
| 83036 | Hemoglobin a1c level | 14 | 12 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 12 | 12 | $0 |
Insurance plans in this area (ZIP 06105)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | CT | 83036 | Hemoglobin A1C level | 16 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | NY | |
| E N D O C R I N O L O G Y | VA | |
| Orthopedic Surgery | CT | |
| Orthopedic Surgery | CT | |
| Endocrinology, Internal Medicine | CT | |
| Critical Care (Intensivists) | CT | |
| Hospitalist, Internal Medicine | CT | |
| Gynecological Oncology | NY | |
| Physician Assistant | CT | |
| Hand Surgery, Orthopedic Surgery | CT |
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