KRISTOFER NATHANIEL TUPPER D.O.
NPI 1306378104
Family Medicine - Sports Medicine in Fairfield, CT

Active since March 30, 2017PECOS Enrolled
70.76/100
CMS Quality Rating
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825(203) 337-2600(203) 337-2611 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 21, 2022, Jul 1, 2020, Jun 27, 2018 and 1 more (4 updates tracked since 2017).

About Kristofer Nathaniel Tupper D.o. NPPES

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

KRISTOFER NATHANIEL TUPPER D.O. (NPI 1306378104) is an individual sports medicine provider in Fairfield, Connecticut, licensed in Connecticut (69436) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306378104
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameKRISTOFER NATHANIEL TUPPERCredential: D.O.
Location Address305 BLACK ROCK TPKEFairfield, CT 06825-5508
Mailing Address305 Black Rock TpkeFairfield, CT 06825-5508 · (203) 337-2600 · Fax (203) 337-2611
Fax(203) 337-2611
Sole ProprietorYes
Enumeration DateMarch 30, 2017
Last NPPES UpdateJanuary 21, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2022
NPI 1306378104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in CT · 69436
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 69436 (CT), LP04070 (RI)
305 BLACK ROCK TPKE, Fairfield, CT 06825

Secondary Practice Locations 2

Location 1263 Farmington AveFarmington, CT 06030-0002 · Phone (860) 679-4763 · Fax (860) 679-4624
Location 2455 Toll Gate RdWarwick, RI 02886 · Phone (401) 737-7010

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 (PECOS)

Kristofer Nathaniel Tupper D.o. 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.

Areas of Expertise CMS Part B claims 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
645 services123 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.
136 services136 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.
108 services108 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
86 services80 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.
81 services65 patients
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.
70 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06825 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.

70.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.21
Promoting Interoperability85
Improvement Activities40
Cost51.85

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.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier17 claims17 services$286.73 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.

Orthopaedic Surgery
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Orthopaedic Surgery (Hand Surgery)
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Orthopaedic Surgery
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Orthopaedic Surgery
305 BLACK ROCK TPKE, ORTHOPAEDIC SPECIALTY GROUP
FAIRFIELD, CT 06825
Orthopaedic Surgery
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Physician Assistant
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Orthopaedic Surgery
305 BLACK ROCK TPKE, OSG
FAIRFIELD, CT 06825
Physical Medicine & Rehabilitation (Pain Medicine)
305 BLACK ROCK TPKE, ORTHOPAEDIC SPECIALTY GROUP
FAIRFIELD, CT 06825

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 Kristofer Tupper's NPI number?

The NPI number for Kristofer Tupper is 1306378104. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Kristofer Tupper located?

Kristofer Tupper practices at 305 Black Rock Tpke, Fairfield, CT 06825. The listed phone number is (203) 337-2600.

What is Kristofer Tupper's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Kristofer Tupper enrolled in Medicare?

Yes. Kristofer Tupper is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristofer Tupper was last updated on January 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.