DR. JOHN WILLIAM KUNSTMAN MD
NPI 1265666184
Surgery - Surgical Oncology in New Haven, CT

Active since May 06, 2009PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510(203) 688-2259(203) 688-5599 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 29, 2018, Jun 20, 2016 (2 updates tracked since 2016).

About Dr. John William Kunstman Md NPPES

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

DR. JOHN WILLIAM KUNSTMAN MD (NPI 1265666184) is an individual surgical oncology provider in New Haven, Connecticut, licensed in Connecticut (61821) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2009).

NPPES Registry Identity

NPI1265666184
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. JOHN WILLIAM KUNSTMANCredential: MD
Location Address20 YORK ST # T-209, YALE-NEW HAVEN HOSPITALNew Haven, CT 06510-3220
Mailing Address20 York St # T-209, Yale-new Haven HospitalNew Haven, CT 06510-3220 · (203) 688-2259 · Fax (203) 688-5599
Fax(203) 688-5599
Sole ProprietorYes
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2009
Enumeration DateMay 6, 2009
Last NPPES UpdateAugust 29, 20182 updates tracked since enumeration
NPI 1265666184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in CT · 61821
Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

20 YORK ST # T-209, New Haven, CT 06510

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. John William Kunstman 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 ID9537489778
PECOS Enrollment IDI20180913000934
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 4

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services16 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.
15 services15 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.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
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.

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

Referred Medical Equipment & Supplies CMS DME claims 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier18 claims704 services$11.17 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier17 claims119 services$278.52 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier18 claims125 services$7.96 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier18 claims125 services$24.87 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.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Student in an Organized Health Care Education/Training Program
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Pathology (Anatomic Pathology & Clinical Pathology)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Psychiatry & Neurology (Psychiatry)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Psychiatry & Neurology (Psychiatry)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Psychiatry & Neurology (Addiction Psychiatry)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Student in an Organized Health Care Education/Training Program
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Internal Medicine (Gastroenterology)
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510

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 John Kunstman's NPI number?

The NPI number for John Kunstman is 1265666184. It was assigned to this individual provider in the NPPES registry on May 6, 2009.

Where is John Kunstman located?

John Kunstman practices at 20 York St # T-209 Yale-New Haven Hospital, New Haven, CT 06510. The listed phone number is (203) 688-2259.

What is John Kunstman's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is John Kunstman enrolled in Medicare?

Yes. John Kunstman 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 John Kunstman was last updated on August 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.