Individual provider Active NPI

Jesse Eisler, M.D.

  • Orthopaedic Surgery Physician
  • Vernon, CT
National Provider Identifier
1326017617
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
043032 Issued in CT
Practice address
460 Hartford Tpke
Suite B
Vernon, CT 06066-4845
Phone
(860) 872-6229
Fax
(860) 872-6252
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 043032 CT Primary

Addresses

Primary practice location

460 Hartford Tpke
Suite B
Vernon, CT 06066-4845

Mailing address

460 Hartford Tpke
Suite B
Vernon, CT 06066-4845
Phone (860) 872-6229

Other identifiers 1

IdentifierTypeStateIssuer
061746779OtherCTTAX ID

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
I20050914000087 CT Practitioner - Orthopedic SurgeryPractitioner - Neurosurgery 2860425634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Neurosurgery
Education
Icahn School of Medicine at Mount Sinai, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connecticut Back Center LLCGroup PAC ID 4486687340, 3 clinicians

Practice addresses (Care Compare)

460 Hartford Tpke
Suite B
Vernon, CT 06066-4847
Phone (860) 253-2714

Hospital & facility affiliations

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion12
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043032CTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Back Center LLC Orthopaedic Surgery CurrentSince May 25, 2005 Accepting new patients
Connecticut Back Center LLC CurrentSince May 25, 2005 Accepting new patients
Orthopaedic Consultants of Cincinnati, Inc. Orthopaedic Surgery Past Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: jesse.eisler@xdr.hhchealthdirect.org

Organizations & group practices 3

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 4

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1326017617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 HARTFORD TPKE",
            "address_2": "SUITE B",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664845",
            "telephone_number": "860-872-6229",
            "fax_number": "860-872-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 HARTFORD TPKE",
            "address_2": "SUITE B",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664845",
            "telephone_number": "860-872-6229",
            "fax_number": "860-872-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISLER",
        "first_name": "JESSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "043032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "061746779",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.