PAUL ANTHONY JUNIOR MCFARLANE MD
NPI 1356969653
Family Medicine in Norwich, CT
About Paul Anthony Junior Mcfarlane Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL ANTHONY JUNIOR MCFARLANE MD (NPI 1356969653) is an individual family medicine provider in Norwich, Connecticut, licensed in Connecticut (72484) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Norwich, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Paul Anthony Junior Mcfarlane 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.
Medicare Billing Reassignments
2Medicare enrollment records show Paul Mcfarlane reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 430 clinicians in this Medicare group
Wethersfield, CT 06109
- Reassigned Medicare billing, Connecticut enrollment
- 747 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Paul Mcfarlane's NPI number?
The NPI number for Paul Mcfarlane is 1356969653. It was assigned to this individual provider in the NPPES registry on July 13, 2020.
Where is Paul Mcfarlane located?
Paul Mcfarlane practices at 42 Town St Ste 300, Norwich, CT 06360. The listed phone number is (860) 886-0567.
What is Paul Mcfarlane's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Paul Mcfarlane enrolled in Medicare?
Yes. Paul Mcfarlane 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.
Which organizations bill Medicare for Paul Mcfarlane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Mcfarlane reassigns Medicare benefits to 2 organizations: William W Backus Hospital (Norwich, CT) and Hartford Healthcare Medical Group, Inc (Wethersfield, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Mcfarlane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Mcfarlane accept?
Health plans from Anthem Blue Cross and Blue Shield list Paul Mcfarlane 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.
When was this NPI record last updated?
The NPPES record for Paul Mcfarlane was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Paul Anthony Junior Mcfarlane, MD · NPI 1356969653
Family Medicine physician in Norwich, Connecticut. Individual provider, active in the CMS NPPES registry since July 13, 2020.
## Identity
- **NPI:** 1356969653 (Entity type: Individual)
- **Enumerated:** July 13, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 72484 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 42 TOWN ST STE 300, Norwich, CT 06360-2339
- **Phone:** (860) 886-0567 · **Fax:** (860) 886-0656
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): William W Backus Hospital (NPI 1730243536, Norwich, CT); Hartford Healthcare Medical Group, Inc (NPI 1043561301, Wethersfield, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1356969653) · Data from the CMS NPPES public registry.