PATHFINDER RECOVERY PLLC – General Practice Physician, NPI 1376309302
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PATHFINDER RECOVERY PLLC
29 EVERGREEN TER
SEYMOUR, CT 064833051
Phone: (203) 599-3908
Fax: (203) 210-8641
Type: Mailing
167 S Broadway Ste 5-1008
Salem, NH 030793379
Phone: (203) 599-3908
Fax: (203) 210-8641
Type: Location
1986 Killington Rd # 7
Killington, VT 057519731
Phone: (203) 599-3908
Fax: (203) 210-8641
Type: Location
14 Millstone Dr
Sherborn, MA 017701283
Phone: (203) 599-3908
Fax: (203) 210-8641
Type: Location
500 EAST MAIN STREET
BRANFORD, CT 064052911
Phone: (203) 599-3908
Fax: (203) 210-8641
Type: Location
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: 2025-09-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| O20250724000414 | O | Clinic/Group Practice | CT | TBD |
| O20250724002661 | O | Clinic/Group Practice | NH | TBD |
| O20250808000266 | O | Clinic/Group Practice | VT | TBD |
| O20250905000179 | O | Clinic/Group Practice | MA | 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 06483)
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