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DR. PRIYA TANDON M.D.
NPI 1417985946
Internal Medicine in Colchester, CT

Active since June 30, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 07D1081037 · Waiver
99.4/100
CMS Quality Rating
7 PARK AVE, SUITE 1, COLCHESTER, CT 06415(860) 537-2309(888) 297-2226 Get Directions Write a Review

NPPES record last updated: May 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Priya Tandon M.d. NPPES

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

DR. PRIYA TANDON M.D. (NPI 1417985946) is an individual internal medicine provider in Colchester, Connecticut, licensed in Connecticut (035115) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 6, 2028, and is a graduate of University Of Connecticut School Of Medicine (1992).

NPPES Registry Identity

NPI1417985946
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRIYA TANDONCredential: M.D.
Location Address7 PARK AVE, SUITE 1Colchester, CT 06415-1128
Mailing Address7 Park Ave, Suite1Colchester, CT 06415-1128 · (860) 537-2309 · Fax (888) 297-2226
Phone(860) 537-2309
Fax(888) 297-2226
Sole ProprietorYes
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1992
Enumeration DateJune 30, 2006
Last NPPES UpdateMay 6, 2011
✔ NPI 1417985946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 035115
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7 PARK AVE, Colchester, CT 06415
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING36363CT
Medicare ID-Type Unspecified110009403CT · Provider # For Ops
Medicaid001351154CT

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

Dr. Priya Tandon 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 ID5890743678
PECOS Enrollment IDI20050107000821
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D1081037

Priya Tandon, MD, LLC · Colchester, CT
Active · expires Mar 6, 2028
CLIA Number07D1081037
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorPriya Tandon
Laboratory Phone(860) 537-2309
Laboratory LocationPriya Tandon, MD, LLC7 Park Ave, Ste 1, Colchester, CT 06415
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
228 services34 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
225 services35 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.
168 services109 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.
104 services104 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.
79 services56 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
48 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06415 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
$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.

99.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost98.03

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers25 claims52 services$6.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims15 services$0.90 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$22.83 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 6

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

DR. ANTHONY HUGH MORGAN DPM
Podiatrist
7 PARK AVE
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 537-5520
REBECCA WENGLOSKI PTA
Physical Therapy Assistant
7 PARK AVE, SUITE 4
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 531-3222
ANTHONY TODT MSPT CSCS
Physical Therapist
7 PARK AVE, SUITE 4
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 917-6536
PERFORMANCE EDGE SPORTS, LLC
Physical Therapist
7 PARK AVE, SUITE 4
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 531-3222
MICHELLE M MAIORINO DPT
Physical Therapist
7 PARK AVE
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 531-3222
BETHANY AUSTIN DPT
Physical Therapist
7 PARK AVE
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 531-3222

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 Priya Tandon's NPI number?

The NPI number for Priya Tandon is 1417985946. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Priya Tandon located?

Priya Tandon practices at 7 Park Ave Suite 1, Colchester, CT 06415. The listed phone number is (860) 537-2309.

What is Priya Tandon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Priya Tandon enrolled in Medicare?

Yes. Priya Tandon 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.

Does Priya Tandon hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1081037) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Priya Tandon was last updated on May 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.