NPIMap

Individual provider Active NPI

Thomas Brian Patrick, PA-C

  • Surgical Physician Assistant
  • North Franklin, CT
National Provider Identifier
1265929202
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
82 New Park Ave
North Franklin, CT 06254-1807
Phone
(860) 889-7345
NPI assigned
Apr 16, 2018
Last updated
Apr 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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 NU Primary

Addresses

Primary practice location

82 New Park Ave
North Franklin, CT 06254-1807

Mailing address

82 New Park Ave
North Franklin, CT 06254-1807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180611001700 CT Practitioner - Physician Assistant 2466707732 Reassigns benefits to 2 organizations
I20240607002192 CT Practitioner - Orthopedic Surgery 2466707732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norwich Orthopedic Group PCGroup PAC ID 6709820798, 48 clinicians
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians

Practice addresses (Care Compare)

11 Industrial Park Rd
Niantic, CT 06357-1210
Phone (860) 889-7345

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

82 New Park Ave
North Franklin, CT 06254-1807
Phone (860) 889-7345

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
87.95 of 100Reported as group
Quality
83.12
Improvement activities
40
Cost
84.36

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.76
Promoting interoperability
96
Improvement activities
40
Cost
77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Spinal fusion97
Laminectomy or laminotomy (partial removal of spine bones)32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norwich Orthopedic Group, P.C. CurrentSince Jul 15, 2018 Accepting new patients
The William W Backus Hospital CurrentSince Jul 7, 2022 Accepting new patients
Norwich Orthopedic Group, P.C. CurrentSince Jul 15, 2018 Accepting new patients
William W Backus Hospital CurrentSince Jul 7, 2022 Accepting new patients

Locations

11 Industrial Park Rd
Niantic, CT 06357
Phone (860) 885-7223

82 New Park Ave
North Franklin, CT 06254
Phone (860) 885-7223

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1265929202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 NEW PARK AVE",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 NEW PARK AVE",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541807",
            "telephone_number": "860-889-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "THOMAS",
        "middle_name": "BRIAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Franklin, CT

Sources for this page

Verify at the official NPI Registry.