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CLARISSE MELINDA FONG SAN JUAN MD
NPI 1245750132
Physical Medicine & Rehabilitation - Pain Medicine in New Haven, CT

Active since June 22, 2017PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2023, Jul 3, 2023, Jul 8, 2022 and 1 more (4 updates tracked since 2017).

About Clarisse Melinda Fong San Juan Md NPPES

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

CLARISSE MELINDA FONG SAN JUAN MD (NPI 1245750132) is an individual pain medicine provider in New Haven, Connecticut, licensed in Connecticut (72590) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Loma Linda University School Of Medicine (2017).

NPPES Registry Identity

NPI1245750132
Entity TypeIndividualFemale
Primary Taxonomy2081P2900X
Provider Legal NameCLARISSE MELINDA FONG SAN JUANCredential: MD
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 688-4242
Phone(203) 688-4242
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2017
Enumeration DateJune 22, 2017
Last NPPES UpdateAugust 18, 20234 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
✔ NPI 1245750132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in CT · 72590
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 72590 (CT)
20 YORK ST, New Haven, CT 06510
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1659 George StNew Haven, CT 06511-5324 · Phone (203) 680-7542
Location 2111 Goose LnGuilford, CT 06437-5101 · Phone (203) 204-0400
Location 38 Devine StNorth Haven, CT 06473-2172 · Phone (877) 925-3637
Location 41 Long Wharf Dr Fl 6New Haven, CT 06511-5991 · Phone (203) 688-8800

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

Clarisse Melinda Fong San Juan Md 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 ID1759762560
PECOS Enrollment IDI20231019002888
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 3

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 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.
86 services52 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
61 services61 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
25 services16 patients

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

AUDREY P SENIOR APRN
Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5860
DR. YEISID F FIGUEREDO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2320
YALE NEW HAVEN HOSPITAL
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2046
TAYLOR KINGSTON
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9185
DR. TRAVIS DANIEL BONTRAGER MD
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1734
NEEHARIKA THOTTEMPUDI MBBS
Psychiatry & Neurology (Neurology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
TERESA JOSEPH D.O.
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-8894
MR. BRAD ST. MARTIN MD
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242

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 Clarisse Melinda San Juan's NPI number?

The NPI number for Clarisse Melinda San Juan is 1245750132. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Clarisse Melinda San Juan located?

Clarisse Melinda San Juan practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Clarisse Melinda San Juan's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Clarisse Melinda San Juan enrolled in Medicare?

Yes. Clarisse Melinda San Juan 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 Clarisse Melinda San Juan was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.