Office listed in NPPES
11 Main St Ste 11-205, Mystic, CT 06355
8604211090
Confirm this address and number with the practice. Registry information may be outdated.
Physician registry profile
MD · Mystic, CT
11 Main St Ste 11-205, Mystic, CT 06355
8604211090
Confirm this address and number with the practice. Registry information may be outdated.
Confirm current services, ages treated, insurance, location, hospital affiliations and appointment availability directly with the practice. An active NPI does not verify current licensure, certification or practice status.
A registry specialty label does not establish that a clinician currently provides the particular care you need.
Reporting year: 2024. These are billed services or units in Original Medicare Part B, not total career experience, all patients, surgical case counts or a quality rating.
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| HCPCS | Billed services / units | Beneficiaries in this row | Service description (English) | Billing setting |
|---|---|---|---|---|
| 36415 | 55 | 50 | Insertion of needle into vein for collection of blood sample | Non-facility |
| 80053 | 152 | 133 | Blood test, comprehensive group of blood chemicals | Non-facility |
| 80061 | 150 | 131 | Blood test, lipids (cholesterol and triglycerides) | Non-facility |
| 82306 | 21 | 21 | Vitamin d-3 level | Non-facility |
| 82570 | 20 | 20 | Creatinine level to test for kidney function or muscle injury | Non-facility |
| 83036 | 43 | 36 | Hemoglobin a1c level | Non-facility |
| 84153 | 12 | 11 | Psa (prostate specific antigen) measurement, total | Non-facility |
| 84439 | 35 | 30 | Thyroxine (thyroid chemical), free | Non-facility |
| 84443 | 94 | 86 | Blood test, thyroid stimulating hormone (tsh) | Non-facility |
| 84550 | 15 | 14 | Uric acid level, blood | Non-facility |
| 85025 | 89 | 88 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | Non-facility |
| 85027 | 20 | 20 | Complete blood cell count (red cells, white blood cell, platelets), automated test | Non-facility |
| 93000 | 41 | 41 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | Non-facility |
| 99204 | 25 | 25 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | Non-facility |
| 99213 | 15 | 15 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Non-facility |
Scroll the table sideways to see every column.
| HCPCS | Billed services / units | Beneficiaries in this row | Service description (English) | Billing setting |
|---|---|---|---|---|
| 99214 | 331 | 223 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Non-facility |
| G0180 | 15 | 12 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | Non-facility |
| G0439 | 93 | 93 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Non-facility |
| G0444 | 15 | 15 | Annual depression screening, 5 to 15 minutes | Non-facility |
| G2211 | 72 | 68 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | Non-facility |
CMS suppresses provider/service rows involving fewer than 11 beneficiaries. Services may repeat for one person, and beneficiaries cannot be added across rows. Facility/non-facility describes billing and does not establish a current hospital affiliation. These counts do not report case complexity, clinical outcomes or whether a treatment is appropriate for you.
Exact CMS source rows for this NPI · Checked 2026-11-03