ZACHARY RICHARD LAVENDER PA-C
NPI 1053864579
Physician Assistant - Medical in Hartford, CT

Active since August 02, 2016PECOS EnrolledAccepts Medicare Assignment
93.24/100
CMS Quality Rating
80 SEYMOUR ST, HH MEDICINE DEPARTMENT, HARTFORD, CT 06102(860) 545-5000 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zachary Richard Lavender Pa-c NPPES

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

ZACHARY RICHARD LAVENDER PA-C (NPI 1053864579) is an individual medical provider in Hartford, Connecticut, licensed in Connecticut (003689) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053864579
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameZACHARY RICHARD LAVENDERCredential: PA-C
Location Address80 SEYMOUR ST, HH MEDICINE DEPARTMENTHartford, CT 06102-8000
Mailing Address80 Seymour St, Hh Medicine DepartmentHartford, CT 06102-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 2, 2016
Last NPPES UpdateOctober 31, 2016
NPI 1053864579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CT · 003689
Also ListedPhysician AssistantTaxonomy 363A00000X · License 003689 (CT)
80 SEYMOUR ST, Hartford, CT 06102

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

Zachary Richard Lavender Pa-c 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 ID1355621889
PECOS Enrollment IDI20161129001737
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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
42 services35 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
28 services28 patients

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.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.98
Improvement Activities40

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.

Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Dietitian, Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Physician Assistant (Surgical)
80 SEYMOUR ST
HARTFORD, CT 06102
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Anesthesiology
80 SEYMOUR ST
HARTFORD, CT 06102
Nurse Practitioner (Family)
80 SEYMOUR ST
HARTFORD, CT 06102
Student in an Organized Health Care Education/Training Program
80 SEYMOUR ST
HARTFORD, CT 06102

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 Zachary Lavender's NPI number?

The NPI number for Zachary Lavender is 1053864579. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Where is Zachary Lavender located?

Zachary Lavender practices at 80 Seymour St Hh Medicine Department, Hartford, CT 06102. The listed phone number is (860) 545-5000.

What is Zachary Lavender's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Zachary Lavender enrolled in Medicare?

Yes. Zachary Lavender 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 Zachary Lavender was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.