Connecticut Back Center LLC
A Medicare group practice based in Vernon, CT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4486687340), with 7 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4486687340
- Provider type
- DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
- Enrolled in
- CT
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050913000195 | CT | Part B Supplier - Clinic/Group Practice | 1174564942 |
| O20200304000911 | CT | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 1174564942 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Connecticut Back Center LLC
- Orthopaedic Surgery Physician
- Vernon, CT
- NPI 1174564942
-
Connecticut Back Center LLC
- Orthopedic Physical Therapist
- Vernon, CT
- NPI 1245837384
Practice locations
- Vernon, CT2
- Farmington, CT1
- Manchester, CT1
- Mansfield, CT1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 93.25 of 100
- Quality
- 84.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 89.34
Clinicians 7
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (3).
-
Christine Bergeron, PT
- Physical Therapist
- Manchester, CT
- NPI 1518976489
-
Jesse Eisler, M.D.
- Orthopaedic Surgery Physician
- Vernon, CT
- NPI 1326017617
-
Andrew Paul Thomas Gregory, D.C., FNP-C, R.NCS.T
- Family Nurse Practitioner
- Vernon, CT
- NPI 1114961703
-
Betty Joseph, PT
- Physical Therapist
- Bloomfield, CT
- NPI 1346207073
-
Justin J Lecuyer, PA-C
- Surgical Physician Assistant
- Hartford, CT
- NPI 1184335374
-
Shahin Shaikh, PA-C
- Physician Assistant
- Hamden, CT
- NPI 1649655226
-
Ashish Upadhyay, MD
- Orthopaedic Surgery of the Spine Physician
- Waterbury, CT
- NPI 1689873457
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.