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GERARDO ELIAS TOLENTINO MD
NPI 1053849976
Family Medicine in Trumbull, CT

Active since May 24, 2017PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
112 QUARRY RD STE 120, TRUMBULL, CT 06611(203) 372-4065(203) 372-1644 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 2, 2020, May 24, 2017 (2 updates tracked since 2017).

About Gerardo Elias Tolentino Md NPPES

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

GERARDO ELIAS TOLENTINO MD (NPI 1053849976) is an individual family medicine provider in Trumbull, Connecticut, licensed in Connecticut (65162) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hoboken, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053849976
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGERARDO ELIAS TOLENTINOCredential: MD
Location Address112 QUARRY RD STE 120Trumbull, CT 06611-4877
Mailing Address112 Quarry Rd Ste 120Trumbull, CT 06611-4877 · (203) 372-4065 · Fax (203) 372-1644
Phone(203) 372-4065
Fax(203) 372-1644
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 24, 2017
Last NPPES UpdateJuly 2, 20202 updates tracked since enumeration
NPPES CertifiedJuly 2, 2020
✔ NPI 1053849976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 65162
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
112 QUARRY RD STE 120, Trumbull, CT 06611
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Secondary Practice Location 1

Location 1308 Willow AveHoboken, NJ 07030-3808 · Phone (201) 418-3127

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

Gerardo Elias Tolentino 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 ID8820413313
PECOS Enrollment IDI20200730002643
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.

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 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.
171 services120 patients
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.
80 services60 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.
69 services69 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
38 services37 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.
38 services25 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06611 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.

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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Other Providers at the Same Location NPPES

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

MORGAN RANDALL PRATT MD
Family Medicine
112 QUARRY RD STE 120
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 372-4065

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 Gerardo Tolentino's NPI number?

The NPI number for Gerardo Tolentino is 1053849976. It was assigned to this individual provider in the NPPES registry on May 24, 2017.

Where is Gerardo Tolentino located?

Gerardo Tolentino practices at 112 Quarry Rd Ste 120, Trumbull, CT 06611. The listed phone number is (203) 372-4065.

What is Gerardo Tolentino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gerardo Tolentino enrolled in Medicare?

Yes. Gerardo Tolentino 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 Gerardo Tolentino was last updated on July 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.