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JEANETTE M TETRAULT MD
NPI 1003841321
Internal Medicine in New Haven, CT

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
1 LONG WHARF DR, NEW HAVEN, CT 06511(203) 781-4600(203) 781-4624 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeanette M Tetrault Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANETTE M TETRAULT MD (NPI 1003841321) is an individual internal medicine provider in New Haven, Connecticut, licensed in Connecticut (042313) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2001).

NPPES Registry Identity

NPI1003841321
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJEANETTE M TETRAULTCredential: MD
Location Address1 LONG WHARF DRNew Haven, CT 06511-5991
Mailing Address1 Long Wharf DrNew Haven, CT 06511-5991 · (203) 781-4600 · Fax (203) 781-4624
Phone(203) 781-4600
Fax(203) 781-4624
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2001
Enumeration DateJuly 12, 2006
Last NPPES UpdateJanuary 24, 2022
NPPES CertifiedJanuary 24, 2022
✔ NPI 1003841321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 042313
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 LONG WHARF DR, New Haven, CT 06511
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Other Identifiers 15

Medicaid004217099CT
Medicaid004041000CT
Medicaid008001325CT
Medicaid008022626CT
Medicaid008023170CT
OtherD400081097CT · Medicare Group Member Pin/ptan
Medicaid008039745CT
OtherC01033CT · Medicare Ptan
Medicaid001423136CT
Medicaid008042339CT
Medicaid500000315CT
Medicaid008022622CT
Medicaid008024427CT
Medicaid004082260CT
Medicaid004082286CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeanette M Tetrault Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294714507
PECOS Enrollment IDI20041123000765
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NEEMA DAD DDS
Student in an Organized Health Care Education/Training Program
1 LONG WHARF DR, YNHH PEDIATRIC DENTISTRY, STE 403
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 688-3000
ASHLEY ANTONUCCI DNP- FNP
Nurse Practitioner (Family)
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 688-8800
HEIDI CLARKE LPN
Licensed Practical Nurse
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600
DR. LAUREL EDWARDS PSY.D.
Psychologist
1 LONG WHARF DR, SUITE 7
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 974-5775
MRS. JOANNA SAMOSKEVICH
Nurse Practitioner (Family)
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-7689
DONNA LAPAGLIA PSY.D.
Psychologist (Clinical)
1 LONG WHARF DR, SATU
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 974-5734
JENNIFER LOYA PHD
Psychologist
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 974-5726
STUART M BAKER LADC
Counselor (Addiction (Substance Use Disorder))
1 LONG WHARF DR, STE 10
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanette Tetrault's NPI number?

The NPI number for Jeanette Tetrault is 1003841321. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Jeanette Tetrault located?

Jeanette Tetrault practices at 1 Long Wharf Dr, New Haven, CT 06511. The listed phone number is (203) 781-4600.

What is Jeanette Tetrault's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jeanette Tetrault enrolled in Medicare?

Yes. Jeanette Tetrault is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeanette Tetrault was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.