JOHN D WILLIAMS MD
NPI 1366707580
Family Medicine in Middletown, CT

Active since July 13, 2012PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
90 S MAIN ST, MIDDLETOWN, CT 06457(860) 358-6486 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 30, 2019, May 17, 2017, Apr 11, 2017 and 1 more (4 updates tracked since 2016).

About John D Williams Md NPPES

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

JOHN D WILLIAMS MD (NPI 1366707580) is an individual family medicine provider in Middletown, Connecticut, licensed in Connecticut (055047) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2012).

NPPES Registry Identity

NPI1366707580
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN D WILLIAMSCredential: MD
Location Address90 S MAIN STMiddletown, CT 06457-3649
Mailing Address90 S Main StMiddletown, CT 06457-3649 · (860) 358-6300 · Fax (860) 358-8661
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2012
Enumeration DateJuly 13, 2012
Last NPPES UpdateAugust 30, 20194 updates tracked since enumeration
NPI 1366707580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CT · 055047
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License 55047 (CT)
90 S MAIN ST, Middletown, CT 06457

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

John D Williams 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 ID9638319023
PECOS Enrollment IDI20160803001271
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 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.
70 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
50 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 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.
33 services28 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
20 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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.

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.

Family Medicine
90 S MAIN ST
MIDDLETOWN, CT 06457
Family Medicine
90 S MAIN ST
MIDDLETOWN, CT 06457
Family Medicine
90 S MAIN ST
MIDDLETOWN, CT 06457
Family Medicine
90 S MAIN ST
MIDDLETOWN, CT 06457
Family Medicine
90 S MAIN ST
MIDDLETOWN, CT 06457
Family Medicine
90 S MAIN ST
MIDDLETOWN, CT 06457
Family Medicine
90 S MAIN ST
MIDDLETOWN, CT 06457
Family Medicine
90 S MAIN ST
MIDDLETOWN, CT 06457

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 John Williams's NPI number?

The NPI number for John Williams is 1366707580. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is John Williams located?

John Williams practices at 90 S Main St, Middletown, CT 06457. The listed phone number is (860) 358-6486.

What is John Williams's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Williams enrolled in Medicare?

Yes. John Williams 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 John Williams was last updated on August 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.