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ANDREW T. PICKENS IV M.D.
NPI 1235350513
Emergency Medicine in New Haven, CT

Active since May 02, 2007PECOS Enrolled
YALE MEDICAL SCHOOL, 333 CEDAR ST., NEW HAVEN, CT 06511(203) 789-3464 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2020, Oct 25, 2018, Sep 7, 2018 (3 updates tracked since 2018).

About Andrew T. Pickens Iv M.d. NPPES

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

ANDREW T. PICKENS IV M.D. (NPI 1235350513) is an individual emergency medicine provider in New Haven, Connecticut, licensed in Connecticut (61664) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1235350513
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANDREW T. PICKENS IVCredential: M.D.
Location AddressYALE MEDICAL SCHOOL, 333 CEDAR ST.New Haven, CT 06511
Mailing Address1450 Chapel StNew Haven, CT 06511-4405 · (203) 789-3464
Phone(203) 789-3464
Sole ProprietorNo
Enumeration DateMay 2, 2007
Last NPPES UpdateApril 28, 20253 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1235350513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CT · 61664✔ Licensed in NC · 2008-00003✔ Licensed in NY · 320799
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
YALE MEDICAL SCHOOL, New Haven, CT 06511
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Secondary Practice Location 1

Location 13400 Wake Forest RdRaleigh, NC 27609-7317 · Phone (919) 954-3000

Other Identifiers 1

Medicaid5909865NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew T. Pickens Iv M.d. 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 Reassignments

2

Medicare enrollment records show Andrew Pickens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Medical Associates New York PC
59 mi
Emergency Medicine
241 NORTH RD
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 235 clinicians in this Medicare group
NPI 1487409702 (845) 483-5000
Bon Secours Charity Health System Medical Group, P.C.
75 mi
Internal Medicine
20 GRAND ST, 3RD FLOOR
Warwick, NY 10990
  • Reassigned Medicare billing, New York enrollment
  • 176 clinicians in this Medicare group
NPI 1487694345 (845) 987-3906

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 06511 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

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

DR. JEAN MEREDITH FLAMMIA M.D.
Emergency Medicine
YALE MEDICAL SCHOOL, 333 CEDAR ST.
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 737-1774

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 Andrew Pickens's NPI number?

The NPI number for Andrew Pickens is 1235350513. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Andrew Pickens located?

Andrew Pickens practices at Yale Medical School 333 Cedar St., New Haven, CT 06511. The listed phone number is (203) 789-3464.

What is Andrew Pickens's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Andrew Pickens enrolled in Medicare?

Yes. Andrew Pickens is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrew Pickens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Pickens reassigns Medicare benefits to 2 organizations: Physicians Medical Associates New York PC (Poughkeepsie, NY) and Bon Secours Charity Health System Medical Group, P.C. (Warwick, NY). Each 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 Andrew Pickens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Pickens accept?

Health plans from Cigna Healthcare list Andrew Pickens 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 Andrew Pickens was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.