PATRICIA CAVANAUGH CNM, WHNP-BC
NPI 1245738269
Advanced Practice Midwife in New Haven, CT

Active since January 24, 2018PECOS EnrolledAccepts Medicare Assignment
89.86/100
CMS Quality Rating
345 WHITNEY AVE, NEW HAVEN, CT 06511(203) 503-0450 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 27, 2025, Oct 8, 2018 (2 updates tracked since 2018).

About Patricia Cavanaugh Cnm, Whnp-bc NPPES

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

PATRICIA CAVANAUGH CNM, WHNP-BC (NPI 1245738269) is an individual advanced practice midwife in New Haven, Connecticut, licensed in Connecticut (445) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Groton, and is a graduate of Yale University School Of Medicine (2018).

NPPES Registry Identity

NPI1245738269
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NamePATRICIA CAVANAUGHCredential: CNM, WHNP-BC
Location Address345 WHITNEY AVENew Haven, CT 06511-2348
Mailing Address72 Parker PlNew Haven, CT 06512-3958 · (630) 361-5676
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2018
Enumeration DateJanuary 24, 2018
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1245738269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in CT · 445
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
345 WHITNEY AVE, New Haven, CT 06511

Secondary Practice Location 1

Location 1491 Gold Star Hwy Ste 100Groton, CT 06340-6226 · Phone (860) 445-5107

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patricia Cavanaugh Cnm, Whnp-bc 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 ID7719221340
PECOS Enrollment IDI20231211002735
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 Patricia Cavanaugh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Family Planning Facility
345 WHITNEY AVE
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 120 clinicians in this Medicare group
Anesthesiology
50 DIVISION ST
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 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 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
$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.

89.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.17
Promoting Interoperability100
Improvement Activities40
Cost73.04

Reported Quality Measures

Breast Cancer Screening
84%133 patients4/55-star benchmark: 93%
Cervical Cancer Screening
97%586 patients4/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%689 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%715 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
57%889 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 9% · 628 patients
9%628 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Midwife
345 WHITNEY AVE
NEW HAVEN, CT 06511
Nurse Practitioner (Women's Health)
345 WHITNEY AVE
NEW HAVEN, CT 06511
Clinic/Center (Ambulatory Family Planning Facility)
345 WHITNEY AVE
NEW HAVEN, CT 06511
Obstetrics & Gynecology
345 WHITNEY AVE
NEW HAVEN, CT 06511
Nurse Practitioner (Family)
345 WHITNEY AVE
NEW HAVEN, CT 06511
Nurse Practitioner (Family)
345 WHITNEY AVE
NEW HAVEN, CT 06511
Clinic/Center (Ambulatory Family Planning Facility)
345 WHITNEY AVE
NEW HAVEN, CT 06511
Nurse Practitioner (Women's Health)
345 WHITNEY AVE
NEW HAVEN, CT 06511

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 Patricia Cavanaugh's NPI number?

The NPI number for Patricia Cavanaugh is 1245738269. It was assigned to this individual provider in the NPPES registry on January 24, 2018.

Where is Patricia Cavanaugh located?

Patricia Cavanaugh practices at 345 Whitney Ave, New Haven, CT 06511. The listed phone number is (203) 503-0450.

What is Patricia Cavanaugh's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Patricia Cavanaugh enrolled in Medicare?

Yes. Patricia Cavanaugh 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.

Which organizations bill Medicare for Patricia Cavanaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Cavanaugh reassigns Medicare benefits to 2 organizations: Planned Parenthood Of Southern New England, Inc. (New Haven, CT) and Yale University (New Haven, CT). 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 Patricia Cavanaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Cavanaugh accept?

Health plans from Anthem Blue Cross and Blue Shield list Patricia Cavanaugh 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 Patricia Cavanaugh was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.