NPIMap

Individual provider Active NPI

Lawrence Berson, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Middletown, CT
National Provider Identifier
1407942006
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
037659 Issued in CT
Practice address
410 Saybrook Rd
Suite 100
Middletown, CT 06457-4777
Phone
(860) 685-8940
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 037659 CT
Orthopaedic Hand Surgery Physician 207XS0106X 037659 CT
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 037659 CT
Orthopaedic Surgery of the Spine Physician 207XS0117X 037659 CT
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 037659 CT Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 037659 CT
Orthopaedic Trauma Physician 207XX0801X 037659 CT

Addresses

Primary practice location

410 Saybrook Rd
Suite 100
Middletown, CT 06457-4777

Mailing address

410 Saybrook Rd
Suite 100
Middletown, CT 06457-4777
Phone (860) 685-8940

Other identifiers 1

IdentifierTypeStateIssuer
001376591MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202001079 CT Practitioner - Orthopedic Surgery 4688567993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Pennsylvania State University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Neurosurgery Specialists, PLLC 255 clinicians

Practice addresses (Care Compare)

430 Saybrook Rd
Middletown, CT 06457-4747
Phone (860) 685-8940

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037659CTMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Orthopedic Surgeons PC Orthopaedic Surgery CurrentSince Mar 1, 2004 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC Orthopaedic Surgery CurrentSince Dec 1, 2021 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC Orthopaedic Surgery CurrentSince Dec 1, 2021 Accepting new patients
Advanced Orthopedics New England Orthopaedic Surgery Past Accepting new patients

Locations

6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145

117 Main St
Hebron, CT 06248
Phone (860) 228-3888

410 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 685-8951

512 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 704-6021

430 Saybrook Rd
Middletown, CT 06457
Phone (860) 638-3820

420 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-4258

510 Saybrook Rd
Middletown, CT 06457
Phone (860) 346-2267

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

505 Willard Ave
Newington, CT 06111
Phone (860) 224-6709

4 Grove Beach Rd N
Westbrook, CT 06498
Phone (860) 664-3553

4 Grove Beach Rd N
Ste E
Westbrook, CT 06498

Interoperability endpoints

  • Direct secure messaging: lberson@ons.emadirect.md

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 1

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1407942006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD",
            "address_2": "SUITE 100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574777",
            "telephone_number": "860-685-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD",
            "address_2": "SUITE 100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574777",
            "telephone_number": "860-685-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSON",
        "first_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "037659",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CT",
            "license": "037659",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CT",
            "license": "037659",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CT",
            "license": "037659",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CT",
            "license": "037659",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CT",
            "license": "037659",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CT",
            "license": "037659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001376591",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.