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PATRICK J CREEDON PA-C
NPI 1295836104
Physician Assistant - Surgical in Middletown, CT

Active since September 25, 2006PECOS Enrolled
97.27/100
CMS Quality Rating
28 CRESCENT ST, MIDDLESEX HOSPITAL, MIDDLETOWN, CT 06457(860) 358-6394 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2017, Feb 21, 2017 (2 updates tracked since 2017).

About Patrick J Creedon Pa-c NPPES

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

PATRICK J CREEDON PA-C (NPI 1295836104) is an individual surgical provider in Middletown, Connecticut, licensed in Connecticut (001265) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295836104
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NamePATRICK J CREEDONCredential: PA-C
Location Address28 CRESCENT ST, MIDDLESEX HOSPITALMiddletown, CT 06457-3654
Mailing Address28 Crescent St, Middlesex HospitalMiddletown, CT 06457-3654 · (860) 358-4820 · Fax (860) 358-8661
Phone(860) 358-6394
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateApril 12, 20172 updates tracked since enumeration
✔ NPI 1295836104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 001265
Also ListedPhysician AssistantTaxonomy 363A00000X · License 001265 (CT)
28 CRESCENT ST, Middletown, CT 06457
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified970001429CT · For Clinic C00814
Medicaid003012655CT
Medicare ID-Type UnspecifiedP73868CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick J Creedon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

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.

THOMAS J. DANYLIW MD
Preventive Medicine (Occupational Medicine)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-6394
JEFFREY M BERNSTEIN MD
Emergency Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-6394
KUANG-WEN TSAO M.D.
Internal Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-4720
DR. BENJAMIN MICHIEL SIGAL MD
Emergency Medicine
28 CRESCENT ST, MIDDLESEX HOSPITAL EMERGENCY DEPARTMENT
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6886
TINA RITA BAFUMI M.D.
Pediatrics
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-9471
SAMUEL PACH
Hospitalist
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-8300
JOSEPH C SALA DO
Radiology (Diagnostic Radiology)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6000
JEFFREY H. GOTTLIEB M.D.
Psychiatry & Neurology (Psychiatry)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-6760

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 Patrick Creedon's NPI number?

The NPI number for Patrick Creedon is 1295836104. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Patrick Creedon located?

Patrick Creedon practices at 28 Crescent St Middlesex Hospital, Middletown, CT 06457. The listed phone number is (860) 358-6394.

What is Patrick Creedon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Patrick Creedon enrolled in Medicare?

Yes. Patrick Creedon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patrick Creedon was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.