1. Home
  2. Directory
  3. Connecticut
  4. New Haven
  5. Urology
  6. NPI Profile

GERALD PORTMAN MD
NPI 1316239833
Urology in New Haven, CT

Active since May 03, 2011PECOS EnrolledAccepts Medicare Assignment
330 ORCHARD ST STE 164, NEW HAVEN, CT 06511(203) 785-2815(203) 737-8035 Get Directions Write a Review

NPPES record last updated: November 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2017, Aug 17, 2017, Aug 10, 2017 (3 updates tracked since 2017).

About Gerald Portman Md NPPES

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

GERALD PORTMAN MD (NPI 1316239833) is an individual urology provider in New Haven, Connecticut, licensed in Connecticut (56398) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1316239833
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameGERALD PORTMANCredential: MD
Location Address330 ORCHARD ST STE 164New Haven, CT 06511-4429
Mailing AddressPo Box 208058New Haven, CT 06520-8058 · (203) 785-5339
Phone(203) 785-2815
Fax(203) 737-8035
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 3, 2011
Last NPPES UpdateNovember 9, 20173 updates tracked since enumeration
✔ NPI 1316239833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CT · 56398
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
330 ORCHARD ST STE 164, New Haven, CT 06511
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Gerald Portman 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 ID7618260522
PECOS Enrollment IDI20160728002204
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 6

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.
144 services82 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.
60 services41 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
52 services23 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.
29 services29 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
15 services15 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06511 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 3

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

RAFAELA M MANGINO PA-C
Physician Assistant
330 ORCHARD ST STE 164
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-2815
STANTON C. HONIG M-D.
Urology
330 ORCHARD ST STE 164
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-2222
JAMES LAMMLIN
Nurse Practitioner (Family)
330 ORCHARD ST STE 164
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-2815

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 Gerald Portman's NPI number?

The NPI number for Gerald Portman is 1316239833. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Where is Gerald Portman located?

Gerald Portman practices at 330 Orchard St Ste 164, New Haven, CT 06511. The listed phone number is (203) 785-2815.

What is Gerald Portman's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Gerald Portman enrolled in Medicare?

Yes. Gerald Portman 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 Gerald Portman accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Gerald Portman 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.

Is Gerald Portman affiliated with any hospitals?

According to CMS data, Gerald Portman is affiliated with Holy Name Medical Center and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Gerald Portman was last updated on November 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.