ARTEM DYATLOV M.D.
NPI 1316378615
Surgery in Bridgeport, CT

Active since December 11, 2013PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
2660 MAIN ST STE 110, BRIDGEPORT, CT 06606(203) 332-4744 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 18, 2021, Jul 9, 2020, Jun 26, 2020 and 5 more (8 updates tracked since 2016).

About Artem Dyatlov M.d. NPPES

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

ARTEM DYATLOV M.D. (NPI 1316378615) is an individual surgery provider in Bridgeport, Connecticut, licensed in Connecticut (64955) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1316378615
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameARTEM DYATLOVCredential: M.D.
Location Address2660 MAIN ST STE 110Bridgeport, CT 06606-5301
Mailing Address2660 Main St Ste 110Bridgeport, CT 06606-5301 · (203) 332-4744
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 11, 2013
Last NPPES UpdateOctober 18, 20218 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
NPI 1316378615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in CT · 64955 Licensed in PA · MD462842
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2660 MAIN ST STE 110, Bridgeport, CT 06606

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

Artem Dyatlov M.d. 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 ID7416211974
PECOS Enrollment IDI20200730001554
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 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.
35 services35 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.
30 services30 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.
26 services21 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 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06606 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
$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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

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 Artem Dyatlov's NPI number?

The NPI number for Artem Dyatlov is 1316378615. It was assigned to this individual provider in the NPPES registry on December 11, 2013.

Where is Artem Dyatlov located?

Artem Dyatlov practices at 2660 Main St Ste 110, Bridgeport, CT 06606. The listed phone number is (203) 332-4744.

What is Artem Dyatlov's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Artem Dyatlov enrolled in Medicare?

Yes. Artem Dyatlov 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 Artem Dyatlov was last updated on October 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.