NPIMap

Individual provider Active NPI

Eric Fisher, D.O.

  • Family Medicine Physician
  • Moodus, CT
National Provider Identifier
1730190034
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042142 Issued in CT
Practice address
27 William F Palmer Rd
Moodus, CT 06469-1132
Phone
(860) 358-5220
Fax
(860) 358-8659
NPI assigned
Aug 11, 2006
Last updated
May 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042142 CT Primary

Addresses

Primary practice location

27 William F Palmer Rd
Moodus, CT 06469-1132

Mailing address

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-4811

Other identifiers 1

IdentifierTypeStateIssuer
001421429MedicaidCT

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
I20040414001640 CT Practitioner - Family Practice 3577558162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians

Practice addresses (Care Compare)

27 William F Palmer Rd
Moodus, CT 06469-1132
Phone (860) 358-5220

4 Shaws CV
Suite 103
New London, CT 06320-4956
Phone (860) 443-3778

55 Meriden Ave
Suite 1D
Southington, CT 06489-3239
Phone (860) 276-5144

8 Vista Dr
Old Lyme, CT 06371-1587
Phone (860) 434-8847

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042142CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Family Medicine CurrentSince May 1, 2019 Accepting new patients
MHS Primary Care Inc Family Medicine CurrentSince Mar 15, 2026 Accepting new patients
MHS Primary Care Family Medicine CurrentSince Mar 15, 2026 Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients

Locations

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

27 William F Palmer Rd
Moodus, CT 06469
Phone (860) 358-5220

4 Shaws Cv
Ste 103
New London, CT 06320
Phone (860) 443-3778

12 Lathrop Rd
Plainfield, CT 06374
Phone (860) 457-9150

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: eric.fisher@xdr.hhchealthdirect.org

Organizations & group practices 5

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 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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1730190034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-4811",
            "fax_number": "860-358-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WILLIAM F PALMER RD",
            "city": "MOODUS",
            "state": "CT",
            "postal_code": "064691132",
            "telephone_number": "860-358-5220",
            "fax_number": "860-358-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "042142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001421429",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moodus, CT

Sources for this page

Verify at the official NPI Registry.