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SUZANNE M POWELL MD
NPI 1013905363
Pediatrics in Mansfield Center, CT

Active since October 11, 2005PECOS Enrolled
12A LEDGEBROOK DR, MANSFIELD CENTER, CT 06250(860) 423-2960(860) 423-3719 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Suzanne M Powell Md NPPES

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

SUZANNE M POWELL MD (NPI 1013905363) is an individual pediatrics provider in Mansfield Center, Connecticut, licensed in Connecticut (042791) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013905363
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUZANNE M POWELLCredential: MD
Location Address12A LEDGEBROOK DRMansfield Center, CT 06250-1690
Mailing Address320 Pomfret StPutnam, CT 06260-1836 · (860) 963-6390 · Fax (860) 963-6343
Phone(860) 423-2960
Fax(860) 423-3719
Sole ProprietorNo
Enumeration DateOctober 11, 2005
Last NPPES UpdateMay 4, 2023
NPPES CertifiedMay 4, 2023
✔ NPI 1013905363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 042791
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12A LEDGEBROOK DR, Mansfield Center, CT 06250
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Other Identifiers 1

Medicaid001427914CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzanne M Powell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Suzanne Powell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Day Kimball Medical Group Inc
19 mi
Family Medicine
320 POMFRET STREET
Putnam, CT 06260
  • Reassigned Medicare billing, Connecticut enrollment
  • 163 clinicians in this Medicare group
NPI 1376813972 (860) 928-6541
Prohealth Physicians PC
31 mi
Family Medicine
3 FARM GLEN BLVD, PROHEALTH PHYSICIANS
Farmington, CT 06032
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group
NPI 1720194053 (860) 284-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06250 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 6

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

DR. CRAIG RUSSELL ELLIOTT M.D.
Pediatrics
12A LEDGEBROOK DR
MANSFIELD CENTER, CT 06250
Capitol Planning Region (860) 423-2960
MARY WATTICK SUTTERFIELD APRN FNP-C
Nurse Practitioner (Family)
12A LEDGEBROOK DR
MANSFIELD CENTER, CT 06250
Capitol Planning Region (860) 423-2960
DR. RONALD WOLZ KELLY M.D.
Pediatrics
12A LEDGEBROOK DR
MANSFIELD CENTER, CT 06250
Capitol Planning Region (860) 423-2960
DR. ANNE SCHWIRCK WILLENBORG M.D.
Pediatrics
12A LEDGEBROOK DR
MANSFIELD CENTER, CT 06250
Capitol Planning Region (860) 423-2960
FERNANDO MATEO LOZADA
Pediatrics
12A LEDGEBROOK DR
MANSFIELD CENTER, CT 06250
Capitol Planning Region (860) 423-2960
DR. THOMAS HARRISON GORIN M.D.
Pediatrics
12A LEDGEBROOK DR
MANSFIELD CENTER, CT 06250
Capitol Planning Region (860) 423-2960

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 Suzanne Powell's NPI number?

The NPI number for Suzanne Powell is 1013905363. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Suzanne Powell located?

Suzanne Powell practices at 12A Ledgebrook Dr, Mansfield Center, CT 06250. The listed phone number is (860) 423-2960.

What is Suzanne Powell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Suzanne Powell enrolled in Medicare?

Yes. Suzanne Powell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Suzanne Powell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Powell reassigns Medicare benefits to 2 organizations: Day Kimball Medical Group Inc (Putnam, CT) and Prohealth Physicians PC (Farmington, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Suzanne Powell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suzanne Powell accept?

Health plans from Anthem Blue Cross and Blue Shield list Suzanne Powell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suzanne Powell was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.