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TABOR DAVID DIZON PA-C
NPI 1154622553
Physician Assistant - Surgical in Hartford, CT

Active since November 16, 2010PECOS Enrolled
84.47/100
CMS Quality Rating
80 SEYMOUR STREET, HARTFORD HOSPITAL CRITICAL CARE MEDICINE, HARTFORD, CT 06102(860) 545-5200 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tabor David Dizon Pa-c NPPES

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

TABOR DAVID DIZON PA-C (NPI 1154622553) is an individual surgical provider in Hartford, Connecticut, licensed in Connecticut (002519) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154622553
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameTABOR DAVID DIZONCredential: PA-C
Location Address80 SEYMOUR STREET, HARTFORD HOSPITAL CRITICAL CARE MEDICINEHartford, CT 06102-5037
Mailing AddressP.o. Box 415933, Hartford Hospital Professional ServicesBoston, MA 02241-5933 · (860) 545-7602
Phone(860) 545-5200
Sole ProprietorNo
Enumeration DateNovember 16, 2010
Last NPPES UpdateFebruary 16, 2012
✔ NPI 1154622553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 002519
80 SEYMOUR STREET, Hartford, CT 06102
Open in Google Maps ↗

Other Names 1

Former Name (1)Tabor David Murphy-dizon Pa-c

Other Identifiers 1

Medicaid003025194CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tabor David Dizon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 6

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
489 services141 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
135 services66 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
46 services45 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.
26 services25 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
22 services22 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.
17 services17 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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

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.

JENNY ANN RICE PA-C
Physician Assistant (Surgical)
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102
Capitol Planning Region (860) 972-4670
MARY R NOON RD
Dietitian, Registered
80 SEYMOUR STREET, HARTFORD HOSPITAL FOOD & NUTRITION SERVICES
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2604
DR. JASON ZAKKO M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
80 SEYMOUR STREET, CARDIAC SURGERY
HARTFORD, CT 06102
Capitol Planning Region (860) 696-5520
DR. ALFRED HERZOG M.D.
Psychiatry & Neurology (Psychiatry)
80 SEYMOUR STREET, HARTFORD HOSPITAL
HARTFORD, CT 06102
Capitol Planning Region (860) 545-3501
NATALIA P. BUKSA PA-C
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL MEDICINE DEPT
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5176
KATIE ANN COPPOLA PA
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE
HARTFORD, CT 06102
Capitol Planning Region (860) 972-0000
AVA DALANI GORNEAULT
Student in an Organized Health Care Education/Training Program
80 SEYMOUR STREET
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2700
JEFFREY A CANTIN PA-C
Physician Assistant
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2840

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 Tabor Dizon's NPI number?

The NPI number for Tabor Dizon is 1154622553. It was assigned to this individual provider in the NPPES registry on November 16, 2010. The provider is also known as Tabor David Murphy-Dizon Pa-C.

Where is Tabor Dizon located?

Tabor Dizon practices at 80 Seymour Street Hartford Hospital Critical Care Medicine, Hartford, CT 06102. The listed phone number is (860) 545-5200.

What is Tabor Dizon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Tabor Dizon enrolled in Medicare?

Yes. Tabor Dizon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tabor Dizon was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.