Individual provider Active NPI

Richard Lord Vincent, M.D.

  • Otolaryngology Physician
  • Waterford, CT
National Provider Identifier
1003172685
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
1003172685 Issued in MD
Practice address
201 Boston Post Rd
Waterford, CT 06385-2805
Phone
(604) 420-4078
NPI assigned
Apr 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 1003172685 MD Primary

Addresses

Primary practice location

201 Boston Post Rd
Waterford, CT 06385-2805

Mailing address

201 Boston Post Rd
Waterford, CT 06385-2805
Phone (860) 442-0407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920000607 CT Practitioner - Otolaryngology 2062710296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Jefferson Medical College of Thomas Jefferson University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Boston Post Rd
Waterford, CT 06385-2805
Phone 8604420407226

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.01 of 100Reported as group
Quality
98.76
Improvement activities
40
Cost
81.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1003172685MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear,Nose and Throat Associates of Southeastern Connecticut, P.C. Otolaryngology CurrentSince Jul 28, 2018 Accepting new patients

Locations

14 Masons Island Rd
Unit 2B
Mystic, CT 06355
Phone (860) 536-3078

201 Boston Post Rd
Waterford, CT 06385
Phone (860) 442-0407

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1003172685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852805",
            "telephone_number": "860-442-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852805",
            "telephone_number": "604-420-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "RICHARD",
        "middle_name": "LORD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-08",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "1003172685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

Verify at the official NPI Registry.