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BRISTOL ORTHOPAEDICS LLC
NPI 1104800788
Orthopaedic Surgery in Bristol, CT

Active since December 06, 2005
641 CLARK AVE, BRISTOL, CT 06010(860) 582-6603(860) 585-9245 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bristol Orthopaedics Llc NPPES

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

BRISTOL ORTHOPAEDICS LLC (NPI 1104800788) is a healthcare organization registered as an orthopaedic surgery in Bristol, Connecticut and active in the NPI registry since December 2005. The organization lists Scott W Organ, Md Partner, as its authorized official.

NPPES Registry Identity

NPI1104800788
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameBRISTOL ORTHOPAEDICS LLC
Location Address641 CLARK AVEBristol, CT 06010-4068
Mailing Address641 Clark AveBristol, CT 06010-4068 · (860) 582-6603 · Fax (860) 585-9245
Phone(860) 582-6603
Fax(860) 585-9245
Organization SubpartNo
Authorized OfficialScott W OrganMd Partner · (860) 582-6603
Enumeration DateDecember 6, 2005
Last NPPES UpdateJuly 2, 2021
NPPES CertifiedJuly 2, 2021
✔ NPI 1104800788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
641 CLARK AVE, Bristol, CT 06010
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bristol Orthopaedics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Bristol Orthopaedics LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Michael Cucka, MD
Orthopedic Surgery
NPI 1942285242
641 CLARK AVE
Bristol, CT 06010
(860) 582-6603
✔ PECOSSame address
Scott Organ, MD
Orthopedic Surgery
NPI 1356329155
641 CLARK AVE
Bristol, CT 06010
(860) 582-6603
✔ PECOSSame address
Amy Jo Sheketoff, PT, DPT
Physical Therapist in Private Practice
NPI 1104437607
641 CLARK AVE
Bristol, CT 06010
(860) 582-0389
Same address
Sara Tine
Physical Therapist in Private Practice
NPI 1366848962
230 GEORGE ST
New Haven, CT 06510
(203) 498-5980
27 mi

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

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 Bristol Orthopaedics LLC's NPI number?

The NPI number for Bristol Orthopaedics LLC is 1104800788. It was assigned to this organization in the NPPES registry on December 6, 2005.

Where is Bristol Orthopaedics LLC located?

Bristol Orthopaedics LLC is located at 641 Clark Ave, Bristol, CT 06010. The listed phone number is (860) 582-6603.

What is Bristol Orthopaedics LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Bristol Orthopaedics LLC enrolled in Medicare?

Yes. Bristol Orthopaedics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bristol Orthopaedics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Bristol Orthopaedics LLC, in Orthopedic Surgery and Physical Therapist in Private Practice. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bristol Orthopaedics LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Bristol Orthopaedics LLC 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 Bristol Orthopaedics LLC was last updated on July 2, 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.