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MR. ADRIAN DAFCIK MD
NPI 1043221179
Internal Medicine in Fairfield, CT

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
134 ROUND HILL ROAD, FAIRFIELD, CT 06824(203) 255-0695(203) 255-0629 Get Directions Write a Review

NPPES record last updated: May 31, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Adrian Dafcik Md NPPES

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

MR. ADRIAN DAFCIK MD (NPI 1043221179) is an individual internal medicine provider in Fairfield, Connecticut, licensed in Connecticut (032343) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1043221179
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. ADRIAN DAFCIKCredential: MD
Location Address134 ROUND HILL ROADFairfield, CT 06824
Mailing Address134 Round Hill RoadFairfield, CT 06824 · (203) 255-0695 · Fax (203) 255-0629
Phone(203) 255-0695
Fax(203) 255-0629
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 11, 2006
Last NPPES UpdateMay 31, 2013
✔ NPI 1043221179 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 · 032343
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.
134 ROUND HILL ROAD, Fairfield, CT 06824
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Other Names 1

Professional Name (2)Mr. Adrian Dafcik Md

Other Identifiers 6

Other004183CT · Health Net
Medicare UPINF29211
Other010032343CT01CT · Bcbs
OtherZP470Oxford
Medicaid001323435CT
Medicare ID-Type Unspecified110006808CT

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 and accepts Medicare assignment

Mr. Adrian Dafcik 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 ID7214027416
PECOS Enrollment IDI20100920000252
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

3

Medicare enrollment records show Adrian Dafcik reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeast Medical Group, Inc
0.3 mi
Cardiovascular Disease
1305 POST RD, SUITE 105
Fairfield, CT 06824
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,824 clinicians in this Medicare group
NPI 1366745267 (203) 292-2000
Hartford Healthcare Medical Group, Inc
49 mi
Surgery
1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 747 clinicians in this Medicare group
NPI 1043561301 (860) 972-9033
Hartford Healthcare Medical Group Specialists, PLLC
51 mi
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
NPI 1023584216 (860) 246-2071

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

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
271 services150 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
266 services171 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
148 services148 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
50 services49 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
44 services43 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
43 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06824 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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers41 claims81 services$5.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers22 claims25 services$1.09 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$11.92 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$12.17 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$168.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Adrian Dafcik's NPI number?

The NPI number for Adrian Dafcik is 1043221179. It was assigned to this individual provider in the NPPES registry on August 11, 2006. The provider is also known as Mr. Adrian Dafcik MD.

Where is Adrian Dafcik located?

Adrian Dafcik practices at 134 Round Hill Road, Fairfield, CT 06824. The listed phone number is (203) 255-0695.

What is Adrian Dafcik's specialty?

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

Is Adrian Dafcik enrolled in Medicare?

Yes. Adrian Dafcik 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.

Which organizations bill Medicare for Adrian Dafcik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adrian Dafcik reassigns Medicare benefits to 3 organizations: Northeast Medical Group, Inc (Fairfield, CT), Hartford Healthcare Medical Group, Inc (Wethersfield, CT) and Hartford Healthcare Medical Group Specialists, PLLC (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 Adrian Dafcik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adrian Dafcik accept?

Health plans from Anthem Blue Cross and Blue Shield list Adrian Dafcik 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 Adrian Dafcik was last updated on May 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.