DOUGLAS MACGILPIN MD
NPI 1023083573
Pediatrics in Newington, CT
About Douglas Macgilpin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS MACGILPIN MD (NPI 1023083573) is an individual pediatrics provider in Newington, Connecticut, licensed in Connecticut (018060) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hartford.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Douglas Macgilpin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Douglas Macgilpin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Farmington, CT 06032
- Reassigned Medicare billing, Connecticut enrollment
- 496 clinicians in this Medicare group
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 601 clinicians in this Medicare group
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 06111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Douglas Macgilpin's NPI number?
The NPI number for Douglas Macgilpin is 1023083573. It was assigned to this individual provider in the NPPES registry on February 20, 2006.
Where is Douglas Macgilpin located?
Douglas Macgilpin practices at 505 Willard Avenue Building 2, Suite C, Newington, CT 06111. The listed phone number is (860) 666-5601.
What is Douglas Macgilpin's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Douglas Macgilpin enrolled in Medicare?
Yes. Douglas Macgilpin is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Douglas Macgilpin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Macgilpin reassigns Medicare benefits to 2 organizations: Prohealth Physicians PC (Farmington, CT) and Connecticut Children's Specialty Group, Inc. (Hartford, 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 Douglas Macgilpin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Macgilpin accept?
Health plans from Anthem Blue Cross and Blue Shield list Douglas Macgilpin 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 Douglas Macgilpin was last updated on September 15, 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.
# Douglas Macgilpin, MD · NPI 1023083573
Pediatrics physician in Newington, Connecticut. Individual provider, active in the CMS NPPES registry since February 20, 2006.
## Identity
- **NPI:** 1023083573 (Entity type: Individual)
- **Enumerated:** February 20, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 018060 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 505 WILLARD AVENUE, BUILDING 2, SUITE C, Newington, CT 06111
- **Phone:** (860) 666-5601 · **Fax:** (860) 666-2539
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Prohealth Physicians PC (NPI 1720194053, Farmington, CT); Connecticut Children's Specialty Group, Inc. (NPI 1669448882, Hartford, CT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2022
- **Other identifiers:** Medicaid 001180603 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1023083573) · Data from the CMS NPPES public registry.