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MR. ALFREDO AXTMAYER II APRN
NPI 1104210491
Nurse Practitioner - Adult Health in New Haven, CT

Active since March 24, 2015PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
20 YORK STREET, SMILOW CANCER CENTER, NEW HAVEN, CT 06510(203) 200-4422(203) 200-6950 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 14, 2017 and 1 more (4 updates tracked since 2016).

About Mr. Alfredo Axtmayer Ii Aprn NPPES

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

MR. ALFREDO AXTMAYER II APRN (NPI 1104210491) is an individual adult health provider in New Haven, Connecticut, licensed in Connecticut (6923) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of University Of Missouri, Columbia School Of Medicine (2016).

NPPES Registry Identity

NPI1104210491
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. ALFREDO AXTMAYER IICredential: APRN
Location Address20 YORK STREET, SMILOW CANCER CENTERNew Haven, CT 06510
Mailing Address20 York Street, Smilow Cancer Center - Np 8New Haven, CT 06510 · (203) 200-4422 · Fax (203) 200-6950
Phone(203) 200-4422
Fax(203) 200-6950
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2016
Enumeration DateMarch 24, 2015
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1104210491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CT · 6923
20 YORK STREET, New Haven, CT 06510
Open in Google Maps ↗

Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (203) 526-2514

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

Mr. Alfredo Axtmayer Ii Aprn 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 ID8527347525
PECOS Enrollment IDI20170823003485
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 3

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.
206 services83 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.
70 services39 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
23 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Referred Medical Equipment & Supplies CMS DME claims 2

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers37 claims2,190 services$0.31 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers32 claims32 services$18.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SARAH HILL LCSW
Social Worker (Clinical)
20 YORK STREET, YALE-NEW HAVEN PSYCHIATRIC HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9907
JENNIFER PALERMO MD
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YNHH TOMPKINS 226
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9503
TASHA LEE CUVI APRN
Nurse Practitioner (Gerontology)
20 YORK STREET, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
NIKHIL SEVAL M.D.
Internal Medicine
20 YORK STREET, YNHH - IM INFECTIOUS DISEASES
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
JESSICA LAUREN DOLMAN MD
Hospitalist
20 YORK STREET, YNHH DEPT OF INTERNAL MEDICINE
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
EESHA VIJAYKUMAR NATARAJAN MBBS
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YNHH TOMPKINS 226
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9503
NIRANJANA RAMANI MBBS
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
MRS. SHARON MOALES LCSW
Social Worker (Clinical)
20 YORK STREET, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5193

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 Alfredo Axtmayer's NPI number?

The NPI number for Alfredo Axtmayer is 1104210491. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Where is Alfredo Axtmayer located?

Alfredo Axtmayer practices at 20 York Street Smilow Cancer Center, New Haven, CT 06510. The listed phone number is (203) 200-4422.

What is Alfredo Axtmayer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Alfredo Axtmayer enrolled in Medicare?

Yes. Alfredo Axtmayer 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 Alfredo Axtmayer was last updated on July 21, 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.