HARTMUT A DOERWALDT MD
NPI 1265496046
Family Medicine in New London, CT

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
1 SHAWS CV, NEW LONDON, CT 06320(860) 447-8304 Get Directions Write a Review

NPPES record last updated: September 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hartmut A Doerwaldt Md NPPES

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

HARTMUT A DOERWALDT MD (NPI 1265496046) is an individual family medicine provider in New London, Connecticut, licensed in Connecticut (CT044586) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1983).

NPPES Registry Identity

NPI1265496046
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHARTMUT A DOERWALDTCredential: MD
Location Address1 SHAWS CVNew London, CT 06320-4902
Mailing Address1 Shaws CvNew London, CT 06320-4902 · (860) 447-8304
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1983
Enumeration DateApril 17, 2006
Last NPPES UpdateSeptember 15, 2011
NPI 1265496046 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 · CT044586
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.
1 SHAWS CV, New London, CT 06320

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

Hartmut A Doerwaldt 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 ID6800866872
PECOS Enrollment IDI20070609000075
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 11

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.
216 services198 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.
91 services91 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
77 services75 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
62 services58 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
43 services43 patients
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.
32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.13
Promoting Interoperability100
Improvement Activities40
Cost54.54

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims54 services$5.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
1 SHAWS CV
NEW LONDON, CT 06320
Nurse Practitioner
1 SHAWS CV
NEW LONDON, CT 06320
Dental Hygienist
1 SHAWS CV
NEW LONDON, CT 06320
Nurse Practitioner (Family)
1 SHAWS CV
NEW LONDON, CT 06320
Registered Nurse
1 SHAWS CV
NEW LONDON, CT 06320
Counselor (Professional)
1 SHAWS CV
NEW LONDON, CT 06320
Nurse Practitioner (Psychiatric/Mental Health)
1 SHAWS CV
NEW LONDON, CT 06320
Psychologist (Clinical)
1 SHAWS CV
NEW LONDON, CT 06320

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 Hartmut Doerwaldt's NPI number?

The NPI number for Hartmut Doerwaldt is 1265496046. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Hartmut Doerwaldt located?

Hartmut Doerwaldt practices at 1 Shaws Cv, New London, CT 06320. The listed phone number is (860) 447-8304.

What is Hartmut Doerwaldt's specialty?

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

Is Hartmut Doerwaldt enrolled in Medicare?

Yes. Hartmut Doerwaldt 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 Hartmut Doerwaldt was last updated on September 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.