Physical Therapist In Waterbury Connecticut

NPI list of 124 physical therapist registered providers with a business address in Waterbury, CT of which 2 are registered as organizations and 122 as individuals. Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:

  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

NPI Name Type Taxonomy Address Medicare PECOS
1003002338THERESE KEPLERIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1003165853ALYSON PALIWODAIndividualPhysical Therapist117 SHARON RD
WATERBURY, CT 06705
(203) 756-2334
Non-Participating ProviderNO
1003920893TRISHA HARRISIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1023509080NATHAN R DAIGLEIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1023557501KELLY SMITHIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1033120910HILDA S IANIGRO-BLINNIndividualPhysical Therapist60 WESTWOOD AVE SUITE 300
WATERBURY, CT 06708
(203) 597-1609
Non-Participating ProviderNO
1033509427JENNIFER RUIZIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1043229057MEGHAN MULHOLLAND POGODZIENSKIIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1053476986SCOTT SHAWIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1063565356DEBRA ADAMOIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0389
Non-Participating ProviderNO
1063602712GRETCHEN PETTINICOIndividualPhysical Therapist
(Pediatrics)
1389 W MAIN ST STE 225
WATERBURY, CT 06708
(203) 757-1474
Non-Participating ProviderNO
1063846947KELLY MESSINAIndividualPhysical Therapist145 GROVE ST
WATERBURY, CT 06710
(203) 753-7205
Accepts MedicareNO
1073189486ALEXANDER J BACKUSIndividualPhysical Therapist8 S COMMONS RD
WATERBURY, CT 06704
(203) 759-1229
Non-Participating ProviderNO
1073524955LISA E. SPOONERIndividualPhysical Therapist500 CHASE PKWY
WATERBURY, CT 06708
(203) 754-2266
Non-Participating ProviderNO
1083794697JOANN M JOHNSONIndividualPhysical Therapist1320 W MAIN ST BLDG 2
WATERBURY, CT 06708
(203) 755-9355
Non-Participating ProviderNO
1104436757JOHN FRANCO DELEOIndividualPhysical Therapist8 S COMMONS ROAD
WATERBURY, CT 06704
(203) 759-1229
Non-Participating ProviderNO
1114529443TYLER JEFFREY SHELDONIndividualPhysical Therapist550 CHASE AVE
WATERBURY, CT 06704
(203) 757-0100
Accepts MedicareYES
1124069539MARI-ANN PRONOVOSTIndividualPhysical Therapist500 CHASE PKWY
WATERBURY, CT 06708
(203) 754-2266
Non-Participating ProviderNO
1134138134DENNIS SANTULLIIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1134216872ELIZABETH M COUTUREIndividualPhysical Therapist1389 W MAIN ST SUITE 121
WATERBURY, CT 06708
(203) 755-5555
Non-Participating ProviderNO
1134281587ROBERT EDWARD DOUGLASSIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Accepts MedicareNO
1134315120BETH HUARDIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1134397102STEVEN MOURGESIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1144334020JOSEPH VINCENT CIARLEGLIOIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1194751065KEVIN J. JACOBSIndividualPhysical Therapist500 CHASE PKWY
WATERBURY, CT 06708
(203) 754-2266
Non-Participating ProviderNO
1194732495FREDERICK SCOTT VALENTEIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1356358097RIMA VISOIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1386652931LYNETTE WITTMERIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1306855374MELISSA WOUNDYIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1205847498MAURIA JACOBIIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1174618797SHARON MUSICIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1225113939ROBERT BASSIndividualPhysical Therapist47 VERNON ST
WATERBURY, CT 06708
(203) 753-6043
Accepts MedicareNO
1356460364BEVERLY MEROLLEIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1376733022TINA MEYERSIndividualPhysical Therapist
(Pediatrics)
1389 W MAIN ST
WATERBURY, CT 06708
(203) 757-1474
Non-Participating ProviderNO
1467642132SHARON BROWNIndividualPhysical Therapist
(Pediatrics)
1389 W MAIN ST
WATERBURY, CT 06708
(203) 271-9854
Non-Participating ProviderNO
1336339001JODIE BEAUCHAMPIndividualPhysical Therapist
(Pediatrics)
1389 W MAIN ST
WATERBURY, CT 06708
(203) 757-1474
Non-Participating ProviderNO
1467649277THOMAS A. JACKSONIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1356596886SAUDI RIO BAGUIOIndividualPhysical Therapist500 CHASE PKWY
WATERBURY, CT 06708
(203) 754-2266
Non-Participating ProviderNO
1295050607HEATHER M PICCIRILLOIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1518278050MICHELLE B MCDERMOTT LYONSIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1396052114SHERI CAMPUTAROIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1548579220JENNA SALVUCCIIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1245597392ABRAM S ZIARNIKIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1457600256ANNE E YANAWAYIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1538408463JENNA M MICHAUDIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1245246909TRACEY CIRIELLOIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1295746493MICHELE VALENTINOIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1144642927REISA FEDORCHUCKIndividualPhysical Therapist3396 E MAIN ST
WATERBURY, CT 06705
(203) 754-2161
Non-Participating ProviderNO
1548682396SEAN MCCANNIndividualPhysical Therapist3396 EAST MAIN ST
WATERBURY, CT 06705
(203) 754-2161
Non-Participating ProviderNO
1417374125STEPHANIE GARDNERIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1316322258KAYLA HORIENIndividualPhysical Therapist117 SHARON RD
WATERBURY, CT 06705
(203) 756-2334
Non-Participating ProviderNO
1255709945TRUPTI AJUDIAIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1427502731PATRICK MCLAUGHLINIndividualPhysical Therapist117 SHARON RD
WATERBURY, CT 06705
(203) 756-2594
Non-Participating ProviderNO
1487108502JOANNA FISHERIndividualPhysical Therapist1211 W MAIN ST
WATERBURY, CT 06708
(203) 753-6043
Non-Participating ProviderNO
1396299335REBECCA CYRIndividualPhysical Therapist8 S COMMONS RD
WATERBURY, CT 06704
(203) 759-1229
Accepts MedicareNO
1376097048KELLY O'CONNELLIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1457668048ERICA S O'KEEFEIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Accepts MedicareNO
1346783248DANIEL PARLATOIndividualPhysical Therapist361 SYLVAN AVE
WATERBURY, CT 06706
(203) 592-5119
Non-Participating ProviderNO
1457360430CAROL WALTERSIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1225049430JAMIE O'GRADYIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1174067177ELIYAHU EZRIEL MILSTEINIndividualPhysical Therapist50 RANDOLPH AVE
WATERBURY, CT 06710
(917) 435-2977
Maybe Accepts MedicareNO
1386170215KATELYND LEE TREMBLAYIndividualPhysical Therapist60 WESTWOOD AVE 300
WATERBURY, CT 06708
(203) 755-9166
Non-Participating ProviderNO
1356381156JULIANNA THERESA REIMOLDIndividualPhysical Therapist500 CHASE PKWY
WATERBURY, CT 06708
(203) 754-2266
Accepts MedicareNO
1386143642JULIANNE M MUNDAIndividualPhysical Therapist500 CHASE PKWY FL 1
WATERBURY, CT 06708
(203) 754-2266
Accepts MedicareNO
1538641832MAEGHAN RISSERIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1144600826ALYSSA BOUDRIEAUIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1265077366LYNDSEY ANN THOMPSONIndividualPhysical Therapist279 CHASE AVE UNIT C
WATERBURY, CT 06704
(203) 757-0100
Accepts MedicareNO
1467070664THOMAS WILLIAM BAKERIndividualPhysical Therapist550 CHASE AVE
WATERBURY, CT 06704
(203) 757-0100
Accepts MedicareNO
1326423054RACHEL COFFMANIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1215531538MICHELLE L ZINKOIndividualPhysical Therapist22 TOMPKINS STREET
WATERBURY, CT 06708
(203) 598-0600
Non-Participating ProviderNO
1528556222KENDRA LENNONIndividualPhysical Therapist1211 W MAIN ST
WATERBURY, CT 06708
(203) 753-6043
Accepts MedicareNO
1447927876CATHERINE BEHUNIAKIndividualPhysical Therapist64 ROBBINS ST
WATERBURY, CT 06708
(203) 573-6041
Non-Participating ProviderNO
1841281284JOYCE LAWTON BEAIndividualPhysical Therapist417 HIGHLAND AVE SUITE 2
WATERBURY, CT 06708
(203) 573-9806
Non-Participating ProviderNO
1902815905MARY ELIZABETH OLAHIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1790796688GEORGIANNA FORMAN TATAIndividualPhysical Therapist60 WESTWOOD AVE
WATERBURY, CT 06708
(203) 597-1609
Non-Participating ProviderNO
1689788556ROBYN FALKOWSKIIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1699885343CHRISTINA KOUKOPOULOSIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1699878702JEANNE LESLIEIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1811091259YISROEL ELINIndividualPhysical Therapist60 TOWER RD
WATERBURY, CT 06710
(203) 755-5116
Non-Participating ProviderNO
1730284381ANN MARIE DALYIndividualPhysical Therapist1320 WEST MAIN ST BLDG 2
WATERBURY, CT 06708
(203) 755-9355
Non-Participating ProviderNO
1598847170DAVID CEGELKAIndividualPhysical Therapist47 VERNON ST
WATERBURY, CT 06708
(203) 753-6043
Non-Participating ProviderNO
1699850883ERIN WALSHIndividualPhysical Therapist47 VERNON ST
WATERBURY, CT 06708
(203) 753-6043
Accepts MedicareNO
1821114679REBECCA LYNN SLOCUMIndividualPhysical Therapist177 WHITEWOOD RD
WATERBURY, CT 06708
(716) 864-5753
Non-Participating ProviderNO
1619173382AMY BLAISIndividualPhysical Therapist
(Pediatrics)
1389 W MAIN ST
WATERBURY, CT 06708
(203) 757-1474
Non-Participating ProviderNO
1689854267JACOB TUCCIARONEIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1619124773EILEEN E ROONEYIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1720235872MONICA GREEN-CONNELLIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1710117718DARRYL WHITEIndividualPhysical Therapist47 VERNON ST
WATERBURY, CT 06708
(203) 753-6043
Non-Participating ProviderNO
1700191038DARRELL GRUBERIndividualPhysical Therapist8 S COMMONS RD
WATERBURY, CT 06704
(203) 759-1229
Non-Participating ProviderNO
1891001103KIMBERLY MAE SMEADIndividualPhysical Therapist107 NEWFIELD AVE APT 31
WATERBURY, CT 06708
(203) 962-5551
Non-Participating ProviderNO
1780972414MICHAEL JOSEPH RINALDOIndividualPhysical Therapist22 TOMPKINS STREET ACCESS REHAB CENTERS, LLC
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1760746861SAMANTHA E.Z. STRONGIndividualPhysical Therapist8 S COMMONS RD UNIT 10B
WATERBURY, CT 06704
(203) 759-1229
Non-Participating ProviderNO
1912262155LAURA ANN STRASSGUETLIndividualPhysical Therapist
(Orthopedic)
8 S COMMONS RD
WATERBURY, CT 06704
(203) 759-1229
Non-Participating ProviderNO
1790035772JENNIFER M. CORBETTIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1790024404SITTI AYESHA H. ASJALIIndividualPhysical Therapist145 GROVE ST
WATERBURY, CT 06710
(203) 753-7205
Non-Participating ProviderNO
1871507467MELISSA ANNE PIETRANTUONOIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1720091127ROBERT MEROLLEIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1598867517SUSAN MACALLISTERIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1952749202DANIEL PATRICK GIFFORDIndividualPhysical Therapist8 SOUTH COMMONS ROAD
WATERBURY, CT 06704
(203) 759-1229
Non-Participating ProviderNO
1609802701JENNIFER MASSIMO MACDONALDIndividualPhysical Therapist500 CHASE PKWY
WATERBURY, CT 06708
(203) 754-2266
Non-Participating ProviderNO
1780012922ROBERT MESSINAIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1871643486ANGELA MOYLANIndividualPhysical Therapist3396 E MAIN ST
WATERBURY, CT 06705
(203) 754-2161
Non-Participating ProviderNO
1811290125JOANNA MILLERIndividualPhysical Therapist3396 E MAIN ST
WATERBURY, CT 06705
(203) 754-2161
Non-Participating ProviderNO
1871915330SUZANNE CREANIndividualPhysical Therapist3396 E MAIN ST
WATERBURY, CT 06705
(203) 754-2161
Non-Participating ProviderNO
1609281211NICOLE HOEFERIndividualPhysical Therapist8 S COMMONS RD
WATERBURY, CT 06704
(203) 759-1229
Non-Participating ProviderNO
1962520163SHEILA MARIE GALLOPIndividualPhysical Therapist10 KAY LN APT D
WATERBURY, CT 06708
(203) 575-0027
Non-Participating ProviderNO
1750687901RONALD MATTHEW BARBIERIIndividualPhysical Therapist1211 W MAIN ST
WATERBURY, CT 06708
(203) 753-6043
Non-Participating ProviderNO
1821457490LORI SWEENEYIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1679838841CATHERINE CASSESSEIndividualPhysical Therapist1981 E MAIN ST
WATERBURY, CT 06705
(203) 709-6232
Non-Participating ProviderNO
1932524253KRISTEN DABBOIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 419-0381
Non-Participating ProviderNO
1992217228LINDA BUDRISIndividualPhysical Therapist22 TOMPKINS ST
WATERBURY, CT 06708
(203) 598-0600
Non-Participating ProviderNO
1972530186KATHLEEN RYAN GANNONIndividualPhysical Therapist500 CHASE PKWY
WATERBURY, CT 06708
(203) 754-2266
Accepts MedicareNO
1962996561CLARISSA ANN MYERSIndividualPhysical Therapist8 S COMMONS RD
WATERBURY, CT 06704
(203) 759-1229
Non-Participating ProviderNO
1881061976MORGAN D FIFIELDIndividualPhysical Therapist279 CHASE AVE STE C
WATERBURY, CT 06704
(203) 757-0100
Non-Participating ProviderNO
1982259800STEPHANIE SANTOSIndividualPhysical Therapist117 SHARON RD
WATERBURY, CT 06705
(203) 756-2334
Accepts MedicareNO
1780218032SHARON VALERIOIndividualPhysical Therapist
(Pediatrics)
1389 W MAIN ST STE 225
WATERBURY, CT 06708
(203) 271-3288
Non-Participating ProviderNO
1720201932KEITH S HAVEMEYERIndividualPhysical Therapist550 CHASE AVE
WATERBURY, CT 06704
(860) 250-4369
Accepts MedicareNO
1851912414ELANA BETH DALGINIndividualPhysical Therapist2154 E MAIN ST
WATERBURY, CT 06705
(203) 575-0516
Non-Participating ProviderNO
1710013883ALYCIA RAE PUSHARDIndividualPhysical Therapist1320 W MAIN ST
WATERBURY, CT 06708
(203) 573-9518
Non-Participating ProviderNO
1851359186PHYSICAL THERAPY ASSOCIATES INCOrganizationPhysical Therapist417 HIGHLAND AVE SUITE 2
WATERBURY, CT 06708
(203) 573-9806
Non-Participating ProviderNO
1558563957WATERBURY ORTHOPAEDIC ASSOCIATES PC
RESTORE PHYSICAL THERAPY
OrganizationPhysical Therapist1211 W MAIN ST
WATERBURY, CT 06708
(203) 755-0163
Non-Participating ProviderNO
1720693070ALEXANDER RICHARD MARTINIndividualPhysical Therapist2154 E MAIN ST
WATERBURY, CT 06705
(203) 575-0516
Non-Participating ProviderNO
1871984070MATTHEW REYNOLDSIndividualPhysical Therapist500 CHASE PKWY FL 1
WATERBURY, CT 06708
(203) 754-2266
Accepts MedicareNO
1558949180NICOLE BAUMIndividualPhysical Therapist134 GRANDVIEW AVENUE
WATERBURY, CT 06708
(203) 573-7130
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.