CONNECTICUT BACK CENTER LLC
NPI 1174564942
Orthopaedic Surgery in Vernon, CT
About Connecticut Back Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNECTICUT BACK CENTER LLC (NPI 1174564942) is a healthcare organization registered as an orthopaedic surgery in Vernon, Connecticut and active in the NPI registry since June 2006. The organization lists Amy Eisler, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Connecticut Back Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Connecticut Back Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Connecticut Back Center LLC's NPI number?
The NPI number for Connecticut Back Center LLC is 1174564942. It was assigned to this organization in the NPPES registry on June 10, 2006.
Where is Connecticut Back Center LLC located?
Connecticut Back Center LLC is located at 460 Hartford Tpke Suite B, Vernon, CT 06066. The listed phone number is (860) 872-6229.
What is Connecticut Back Center LLC's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Connecticut Back Center LLC enrolled in Medicare?
Yes. Connecticut Back Center LLC is registered in the Medicare PECOS enrollment system.
When is Connecticut Back Center LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Connecticut, Physician - Orthopedic/Orthopedic Surgery) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Connecticut Back Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Connecticut Back Center LLC, in Nurse Practitioner, 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Connecticut Back Center LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Connecticut Back Center 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 Connecticut Back Center LLC was last updated on December 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Connecticut Back Center Llc · NPI 1174564942
Orthopaedic Surgery organization in Vernon, Connecticut. Organization record, active in the CMS NPPES registry since June 10, 2006.
## Identity
- **NPI:** 1174564942 (Entity type: Organization)
- **Enumerated:** June 10, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Organization subpart:** No
- **Authorized official:** Amy Eisler, OFFICE MANAGER
## Practice location
- **Address:** 460 HARTFORD TPKE, SUITE B, Vernon, CT 06066-4845
- **Phone:** (860) 872-6229 · **Fax:** (860) 872-6252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (DME, Connecticut, Physician - Orthopedic/Orthopedic Surgery) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (2), Physical Therapist in Private Practice (2), Nurse Practitioner (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2007
- **Other identifiers:** Medicare PIN C03399 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1174564942) · Data from the CMS NPPES public registry.