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GINA RUPERT PAC
NPI 1184652711
Physician Assistant - Medical in Southbury, CT

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
385 MAIN ST SOUTH, STE 301 UNION SQUARE, SOUTHBURY, CT 06488(203) 264-3319(203) 267-6382 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gina Rupert Pac NPPES

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

GINA RUPERT PAC (NPI 1184652711) is an individual medical provider in Southbury, Connecticut, licensed in Connecticut (001710) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1184652711
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameGINA RUPERTCredential: PAC
Location Address385 MAIN ST SOUTH, STE 301 UNION SQUARESouthbury, CT 06488
Mailing Address385 Main St South, Ste 301 Union SquareSouthbury, CT 06488 · (203) 264-3319 · Fax (203) 267-6382
Phone(203) 264-3319
Fax(203) 267-6382
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 30, 2006
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
✔ NPI 1184652711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 001710
385 MAIN ST SOUTH, Southbury, CT 06488
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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

Gina Rupert Pac 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 ID1355351875
PECOS Enrollment IDI20060428000128
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 7

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.
234 services103 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
120 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
95 services95 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
93 services14 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.
53 services42 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
14 services12 patients

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers18 claims58 services$5.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$107.40 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$35.00 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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW BUSHEY MD
Radiology (Diagnostic Radiology)
385 MAIN ST SOUTH, UNION SQUARE
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-7999
DIAGNOSTIC IMAGING OF SOUTHBURY
Clinic/Center (Radiology)
385 MAIN ST SOUTH, NVRA UNION SQUARE BLDG 2
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-7999
ROBERT GUMBARDO MD
Radiology (Nuclear Radiology)
385 MAIN ST SOUTH, UNION SQUARE
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-7999
GEOFFREY L MANTON MD
Radiology (Diagnostic Radiology)
385 MAIN ST SOUTH, UNION SQUARE
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-7999
PHILIP ROTHFELD MD
Radiology (Diagnostic Radiology)
385 MAIN ST SOUTH, UNION SQUARE, BLDG#1
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-7999
BIPINCHANDRA JAGJIVAN
Radiology (Diagnostic Radiology)
385 MAIN ST SOUTH, UNION SQUARE BLDG #1 NVRA IMAGING NETWORK
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-7999
CAROLYN AJEMIAN MD
Radiology (Diagnostic Radiology)
385 MAIN ST SOUTH, UNION SQUARE
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-7999
MARK JOHNSON MD
Radiology (Nuclear Radiology)
385 MAIN ST SOUTH, UNION SQUARE
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-7999

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 Gina Rupert's NPI number?

The NPI number for Gina Rupert is 1184652711. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Gina Rupert located?

Gina Rupert practices at 385 Main St South Ste 301 Union Square, Southbury, CT 06488. The listed phone number is (203) 264-3319.

What is Gina Rupert's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Gina Rupert enrolled in Medicare?

Yes. Gina Rupert 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 Gina Rupert was last updated on October 28, 2021. 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.