CAROLYN COLBY CRUZ (PA-C) – Surgical Physician Assistant, NPI 1760408249
Surgical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CAROLYN COLBY CRUZ (PA-C)
435 LEWIS AVE
MERIDEN, CT 064512101
Phone: (203) 694-8200
Fax: (203) 732-1332
Type: Mailing
67, Maple Avenue, Derby, New Haven County, Connecticut, 06418-1328, United States
DERBY, CT 064181328
Phone: (203) 732-1330
Fax: (203) 732-1332
Type: Mailing
Griffin Hospital, 130, Division Street, Derby, New Haven County, Connecticut, 06418-1326, United States
DERBY, CT 064181326
Phone: (203) 732-1330
Fax: (203) 732-1332
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $299.
Total Amount is formed as General ($299) + Research ($0) + Ownership ($0) = $299.
Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Boston Scientific Corporation ($299).
Total Amount
$299
General + Research + Ownership
Payments
14
Total payment records
General Amount
$299
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
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $299 |
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: 2005-12-12
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 |
|---|---|---|---|---|
| I20051212000012 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06451)
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