Individual provider Active NPI

Christopher Roger Payette, DPM

  • Podiatrist
  • Putnam, CT
National Provider Identifier
1245340348
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000663 Issued in CT
Practice address
263 Pomfret St
Putnam, CT 06260
Phone
(860) 928-3667
Fax
(860) 963-9008
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000663 CT Primary

Addresses

Primary practice location

263 Pomfret St
Putnam, CT 06260

Mailing address

263 Pomfret St
Putnam, CT 06260-1835
Phone (860) 928-3667

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031210000741 CT Practitioner - Podiatry 8022914043 Practice locations: Putnam, CT

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

263 Pomfret St
Putnam, CT 06260-1835
Phone (860) 928-3667

Merit-based Incentive Payment System (MIPS)

Final score
17.86 of 100Reported as individual
Quality
20
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions14
Removal of nail tissue2005
Removal or shaving of skin growth1469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000663CTMDPhysical Therapy Assistant
663CTMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher R Payette Podiatrist CurrentSince May 27, 2000 Accepting new patients

Locations

263 Pomfret St
Putnam, CT 06260
Phone (860) 928-2068

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1245340348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601835",
            "telephone_number": "860-928-3667",
            "fax_number": "860-963-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "06260",
            "telephone_number": "860-928-3667",
            "fax_number": "860-963-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYETTE",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

Verify at the official NPI Registry.