ALFRED JAMES CROTEAU M.D.
NPI 1194024380
Surgery in Hartford, CT

Active since March 28, 2011PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
85 SEYMOUR ST STE 415, HARTFORD, CT 06106(860) 246-2071 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 28, 2018, Aug 24, 2018, Aug 7, 2018 and 1 more (4 updates tracked since 2017).

About Alfred James Croteau M.d. NPPES

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

ALFRED JAMES CROTEAU M.D. (NPI 1194024380) is an individual surgery provider in Hartford, Connecticut, licensed in Connecticut (61805) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1194024380
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameALFRED JAMES CROTEAUCredential: M.D.
Location Address85 SEYMOUR ST STE 415Hartford, CT 06106
Mailing Address85 Seymour St Ste 415Hartford, CT 06106-5523
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 28, 2011
Last NPPES UpdateAugust 28, 20184 updates tracked since enumeration
NPI 1194024380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CT · 61805
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 61805 (CT)
85 SEYMOUR ST STE 415, Hartford, CT 06106

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

Alfred James Croteau M.d. 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 ID6103129432
PECOS Enrollment IDI20180911003489
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

Other Providers at the Same Location NPPES 5

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

Surgery
85 SEYMOUR ST STE 415
HARTFORD, CT 06106
Surgery (Surgical Critical Care)
85 SEYMOUR ST STE 415
HARTFORD, CT 06106
Surgery (Surgical Critical Care)
85 SEYMOUR ST STE 415
HARTFORD, CT 06106
Surgery
85 SEYMOUR ST STE 415
HARTFORD, CT 06106
Physician Assistant (Surgical)
85 SEYMOUR ST STE 415
HARTFORD, CT 06106

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 Alfred Croteau's NPI number?

The NPI number for Alfred Croteau is 1194024380. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Where is Alfred Croteau located?

Alfred Croteau practices at 85 Seymour St Ste 415, Hartford, CT 06106. The listed phone number is (860) 246-2071.

What is Alfred Croteau's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Alfred Croteau enrolled in Medicare?

Yes. Alfred Croteau 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 Alfred Croteau was last updated on August 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.