LARRYL L DAMON JR. D.O
NPI 1154855542
Pediatrics in Waterbury, CT

Active since April 12, 2017PECOS Enrolled
51 N ELM ST, WATERBURY, CT 06702(203) 574-4000 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2024, May 16, 2024, Oct 11, 2023 and 2 more (5 updates tracked since 2017).

About Larryl L Damon Jr. D.o NPPES

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

LARRYL L DAMON JR. D.O (NPI 1154855542) is an individual pediatrics provider in Waterbury, Connecticut, licensed in Connecticut (77040) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Ariel.

NPPES Registry Identity

NPI1154855542
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameLARRYL L DAMON JR.Credential: D.O
Location Address51 N ELM STWaterbury, CT 06702-1545
Mailing Address601 Park StHonesdale, PA 18431-1445
Sole ProprietorNo
Enumeration DateApril 12, 2017
Last NPPES UpdateAugust 15, 20245 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1154855542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CT · 77040✔ Licensed in PA · OS020705
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
51 N ELM ST, Waterbury, CT 06702

Secondary Practice Location 1

Location 162 Industrial Park RdLake Ariel, PA 18436-5606 · Phone (570) 689-7565

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larryl L Damon Jr. D.o 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.

Medicare Billing Reassignment

Medicare enrollment records show Larryl Damon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
675 MAIN ST
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 390 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06702 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.

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.

Social Worker (Clinical)
51 N ELM ST
WATERBURY, CT 06702
Social Worker (Clinical)
51 N ELM ST
WATERBURY, CT 06702
Social Worker (Clinical)
51 N ELM ST
WATERBURY, CT 06702
Psychologist
51 N ELM ST
WATERBURY, CT 06702
Psychologist
51 N ELM ST
WATERBURY, CT 06702
Nurse Practitioner
51 N ELM ST
WATERBURY, CT 06702
Psychologist
51 N ELM ST
WATERBURY, CT 06702
Pediatrics
51 N ELM ST
WATERBURY, CT 06702

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 Larryl Damon's NPI number?

The NPI number for Larryl Damon is 1154855542. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Larryl Damon located?

Larryl Damon practices at 51 N Elm St, Waterbury, CT 06702. The listed phone number is (203) 574-4000.

What is Larryl Damon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Larryl Damon enrolled in Medicare?

Yes. Larryl Damon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Larryl Damon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larryl Damon reassigns Medicare benefits to Community Health Center Inc (Middletown, CT). The 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 Larryl Damon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Larryl Damon was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.