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BRENDA LOUISE APPLEGATE M.D.
NPI 1255437752
Family Medicine in Pawcatuck, CT

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
91 VOLUNTOWN RD, PAWCATUCK, CT 06379(860) 599-5477(860) 599-5676 Get Directions Write a Review

NPPES record last updated: January 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brenda Louise Applegate M.d. NPPES

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

BRENDA LOUISE APPLEGATE M.D. (NPI 1255437752) is an individual family medicine provider in Pawcatuck, Connecticut, licensed in Connecticut (035827) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1991).

NPPES Registry Identity

NPI1255437752
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBRENDA LOUISE APPLEGATECredential: M.D.
Location Address91 VOLUNTOWN RDPawcatuck, CT 06379-1366
Mailing Address91 Voluntown RdPawcatuck, CT 06379-1366 · (860) 599-5477 · Fax (860) 599-5676
Phone(860) 599-5477
Fax(860) 599-5676
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 1991
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJanuary 19, 2013
✔ NPI 1255437752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 035827
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
91 VOLUNTOWN RD, Pawcatuck, CT 06379
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Other Identifiers 13

Medicaid001358276CT
Other510427677CT · Cigna
OtherP805740CT · Oxford Id
Other741490CT · Connecticare Id
Other3369438CT · Aetna Hmo Id
Medicare UPING20692CT
Other510427677CT · Commercial Plans Id
Other5051525CT · Aetna Ins Id
Other010035827CT02CT · Bcbs Of Ct Id
Medicare ID-Type Unspecified080001576CT · Medicare Id
Other2V2718CT · Health Net Id
Other510427677CT · Tricare
Other510427677CT · United Health Care

Accepted Insurance

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

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

Brenda Louise Applegate 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 ID648356782
PECOS Enrollment IDI20210714003790
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 2

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.
43 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06379 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.

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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost83.1

Other Providers at the Same Location NPPES 8

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

PAUL NIEDBALA
Nurse Practitioner (Family)
91 VOLUNTOWN RD
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 599-5477
MRS. KAREN MARIE MURPHY PHYSICIAN ASSISTANT
Physician Assistant
91 VOLUNTOWN RD
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 599-5477
DR. STEPHEN JOSEPH PHELAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
91 VOLUNTOWN RD
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 599-5477
DR. WILLIAM H KOBER M.D.
Family Medicine
91 VOLUNTOWN RD
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 599-5477
DR. LOUIS C IOVINO D.O.
Internal Medicine
91 VOLUNTOWN RD
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 599-5477
MRS. ANGELA G MOORE APRN
Nurse Practitioner
91 VOLUNTOWN RD, NEMG YALE NEW HAVEN HOSPITAL
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 995-4778
MRS. KERRY MARIE PHELAN PA-C
Physician Assistant
91 VOLUNTOWN RD
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 599-5477
MRS. VERA MARIE BORKOWSKI MS, FNP-C
Nurse Practitioner (Family)
91 VOLUNTOWN RD
PAWCATUCK, CT 06379
Southeastern Connecticut Planning Region (860) 599-5477

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 Brenda Applegate's NPI number?

The NPI number for Brenda Applegate is 1255437752. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Brenda Applegate located?

Brenda Applegate practices at 91 Voluntown Rd, Pawcatuck, CT 06379. The listed phone number is (860) 599-5477.

What is Brenda Applegate's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brenda Applegate enrolled in Medicare?

Yes. Brenda Applegate 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.

What insurance does Brenda Applegate accept?

Health plans from Medica list Brenda Applegate 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 Brenda Applegate was last updated on January 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.