Pain & Spine Specialists of Connecticut LLC
A Medicare group practice based in Danbury, CT: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0143323063), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0143323063
- Also listed as
- Pain and Spine Specialists of Connecticut LLC
- Provider type
- DME Supplier - Physician - General Practice, DME Supplier - Physician - Interventional Pain Management, Part B Supplier - Clinic/Group Practice
- Enrolled in
- CT
- Enrollments
- 3
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 10
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20070314000429 | CT | Part B Supplier - Clinic/Group Practice | 1467588020 |
| O20120723000065 | CT | DME Supplier - Physician - General Practice | 1528326733 |
| O20220120002337 | CT | DME Supplier - Physician - Interventional Pain Management | 1386256378 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Pain & Spine Specialists of Connecticut LLC
- Specialist
- Farmington, CT
- NPI 1528326733
-
Pain & Spine Specialists of Connecticut, LLC
- Interventional Pain Medicine Physician
- Fairfield, CT
- NPI 1386256378
-
Pain & Spine Specialists of Connecticut, LLC
- Interventional Pain Medicine Physician
- Danbury, CT
- NPI 1467588020
Practice locations
- Danbury, CT3
- Fairfield, CT2
- Farmington, CT2
- New Milford, CT1
- Trumbull, CT1
- Waterbury, CT1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (5).
-
Kristoffer Ryan Alpas De Lara, MD
- Interventional Pain Medicine Physician
- Germantown, MD
- NPI 1104109305
-
Manuel Marquez, FNP
- Family Nurse Practitioner
- Fairfield, CT
- NPI 1740532977
-
Christina Menendez, FNP-BC
- Family Nurse Practitioner
- Farmington, CT
- NPI 1255109393
-
Imran Ahmed Mridha, PA
- Physician Assistant
- Fairfield, CT
- NPI 1558970558
-
Gayle Jean Roussel, APRN
- Nurse Practitioner
- Hartford, CT
- NPI 1194233841
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.