Individual provider Active NPI

Robert Chase Stockton, D.O

  • Orthopaedic Surgery of the Spine Physician
  • Wallingford, CT
National Provider Identifier
1639556350
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
S4692 Issued in TX
Practice address
863 N Main Street Ext Ste 2002ND
Wallingford, CT 06492-2434
Phone
(203) 265-3280
NPI assigned
May 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X S4692 TX Primary

Addresses

Primary practice location

863 N Main Street Ext Ste 2002ND
Wallingford, CT 06492-2434

Mailing address

863 N Main Street Ext Ste 2002ND
Wallingford, CT 06492-2434
Phone (032) 653-2802

Other identifiers 1

IdentifierTypeStateIssuer
S4692OtherTXTMB

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
I20210514000966 CT Practitioner - Orthopedic Surgery 3870838022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

863 N Main St Ext
Suite 200 FL 2
Wallingford, CT 06492-2434
Phone (203) 265-3280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.72 of 100Reported as individual
Quality
65.77
Promoting interoperability
0
Improvement activities
40
Cost
82.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion81
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)37
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S4692TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Orthopedics & Musculoskeletal Care LLC Orthopaedic Surgery CurrentSince Feb 12, 2021 Accepting new patients
Comprehensive Orthopedics & Musculoskeletal Care LLC Orthopaedic Surgery PastSince Aug 13, 2023 Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

714 S Main St
Cheshire, CT 06410
Phone (203) 271-0556

455 Lewis Ave
Ste 101
Meriden, CT 06451
Phone (203) 639-7992

455 Lewis Ave
Ste 200
Meriden, CT 06451
Phone (203) 238-9446

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

98 Main St
Rear 1
Southington, CT 06489

601 N Main St
Southington, CT 06489

98 Main St
Ste 201
Southington, CT 06489
Phone (860) 329-0115

863 N Main Street Ext
Ste 200
Wallingford, CT 06492
Phone (203) 741-6547

Interoperability endpoints

  • Direct secure messaging: rstockton1618680@direct.texashealth.org

Organizations & group practices 2

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 7

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": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1639556350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 N MAIN STREET EXT STE 2002ND",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922434",
            "telephone_number": "032-653-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 N MAIN STREET EXT STE 2002ND",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922434",
            "telephone_number": "203-265-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKTON",
        "first_name": "ROBERT",
        "middle_name": "CHASE",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "S4692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMB",
            "identifier": "S4692",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.