Individual provider Active NPI

Barry Christopher Cusson, PA

  • Orthopaedic Surgery Physician
  • Portsmouth, NH
National Provider Identifier
1174587406
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0244P Issued in NH
Practice address
1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone
(603) 431-1121
Fax
(603) 431-9147
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0244P NH Primary
Orthopaedic Surgery Physician 207X00000X PA460 ME

Addresses

Primary practice location

1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679

Mailing address

1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone (603) 431-1121

Other identifiers 1

IdentifierTypeStateIssuer
99904925MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111201000213 NH Practitioner - Physician Assistant 3779757737 Reassigns benefits to 1 organization
I20120131000597 ME Practitioner - Physician Assistant 3779757737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone (603) 431-1121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0244NHMDPeer Specialist
0244PNHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmedicine Atlantic Orthopaedics PA Orthopaedic Surgery CurrentSince Jul 10, 1995 Accepting new patients

Locations

16 Hospital Dr
Ste B
York, ME 03909
Phone (207) 351-8117

15 Durham Rd
Ste 108
Dover, NH 03820
Phone (603) 431-1121

1900 Lafayette Rd
Ste A
Portsmouth, NH 03801
Phone (603) 431-1121

Interoperability endpoints

  • Direct secure messaging: bcusson@direct.smao.org

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1174587406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LAFAYETTE RD",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015679",
            "telephone_number": "603-431-1121",
            "fax_number": "603-431-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LAFAYETTE RD",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015679",
            "telephone_number": "603-431-1121",
            "fax_number": "603-431-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSSON",
        "first_name": "BARRY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "0244P",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "PA460",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99904925",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.