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JAMES MICHAEL PARKER MD
NPI 1083932719
Surgery in Middletown, CT

Active since May 05, 2010PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
540 SAYBROOK RD STE 100, MIDDLETOWN, CT 06457(860) 358-2850(860) 358-8698 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2021, Apr 12, 2017, Jun 23, 2016 (3 updates tracked since 2016).

About James Michael Parker Md NPPES

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

JAMES MICHAEL PARKER MD (NPI 1083932719) is an individual surgery provider in Middletown, Connecticut, licensed in Connecticut (049849) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1083932719
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES MICHAEL PARKERCredential: MD
Location Address540 SAYBROOK RD STE 100Middletown, CT 06457-4760
Mailing Address28 Crescent StMiddletown, CT 06457-3654 · (860) 358-4820 · Fax (860) 358-8661
Phone(860) 358-2850
Fax(860) 358-8698
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 5, 2010
Last NPPES UpdateMarch 3, 20213 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1083932719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CT · 049849
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
540 SAYBROOK RD STE 100, Middletown, CT 06457
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Other Identifiers 1

Medicaid002294700FL

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

James Michael Parker 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 ID2567594518
PECOS Enrollment IDI20110919000134
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
54 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services16 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.
19 services17 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

DR. KERTRISA R MCWHITE MD
Surgery (Surgical Oncology)
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
MHS PRIMARY CARE INC.
Surgery
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2780
DAVID AUGENBLICK MD
Surgery
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
DR. ANDREA MARIE MALON M.D.
Surgery (Surgical Oncology)
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
ROBERT COOPER BROWN PA
Physician Assistant
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
MS. DEBRA AUGUST KING PA, PHD
Physician Assistant (Surgical)
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
MHS PRIMARY CARE INC.
Surgery
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
MARY LOUISE BURBANK RD
Dietitian, Registered
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 287-1078

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 James Parker's NPI number?

The NPI number for James Parker is 1083932719. It was assigned to this individual provider in the NPPES registry on May 5, 2010.

Where is James Parker located?

James Parker practices at 540 Saybrook Rd Ste 100, Middletown, CT 06457. The listed phone number is (860) 358-2850.

What is James Parker's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Parker enrolled in Medicare?

Yes. James Parker 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 James Parker was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.