Individual provider Active NPI

Justin J Lecuyer, PA-C

  • Surgical Physician Assistant
  • Hartford, CT
National Provider Identifier
1184335374
Registry record updated Feb 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
006008 Issued in CT
Practice address
32 Seymour St
Hartford, CT 06106-3321
Phone
(860) 972-2245
NPI assigned
Dec 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 006008 CT Primary

Addresses

Primary practice location

32 Seymour St
Hartford, CT 06106-3321

Mailing address

32 Seymour St
Hartford, CT 06106-3321
Phone (860) 972-2245

Other practice location 1

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-2245

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230224002066 CT Practitioner - Physician Assistant 8628441409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Back Center LLCGroup PAC ID 4486687340, 3 clinicians
Hartford HospitalGroup PAC ID 2567366016, 1,040 clinicians

Practice addresses (Care Compare)

34 Professional Park Rd
Mansfield, CT 06250-1127
Phone (860) 429-2803

80 Seymour St
Hartford, CT 06102-8000

Hospital & facility affiliations

  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Merit-based Incentive Payment System (MIPS)

Final score
93.25 of 100Reported as group
Quality
84.25
Promoting interoperability
100
Improvement activities
40
Cost
89.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006008CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Back Center LLC CurrentSince Sep 1, 2024 Accepting new patients
Hartford Hospital CurrentSince Mar 1, 2023 Accepting new patients

Locations

32 Seymour St
Hartford, CT 06106
Phone (860) 972-1128

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

34 Professional Park Rd
Storrs Mansfield, CT 06268
Phone (860) 429-2803

460 Hartford Tpke
Ste B
Vernon Rockville, CT 06066
Phone (860) 872-6229

Organizations & group practices 4

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": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676764800000",
    "number": "1184335374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063321",
            "telephone_number": "860-972-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063321",
            "telephone_number": "860-972-2245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Seymour St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061028000",
            "country_code": "US",
            "telephone_number": "860-972-2245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECUYER",
        "first_name": "JUSTIN",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-08",
        "last_updated": "2023-02-19",
        "certification_date": "2023-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "006008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.