CLAIRE REARDON MD
NPI 1437343688
Family Medicine in New London, CT

Active since August 30, 2007PECOS EnrolledAccepts Medicare Assignment
1 SHAWS CV, NEW LONDON, CT 06320(860) 447-8304(860) 443-8720 Get Directions Write a Review

NPPES record last updated: August 30, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Claire Reardon Md NPPES

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

CLAIRE REARDON MD (NPI 1437343688) is an individual family medicine provider in New London, Connecticut, licensed in Connecticut (045601) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2004).

NPPES Registry Identity

NPI1437343688
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCLAIRE REARDONCredential: MD
Location Address1 SHAWS CVNew London, CT 06320-4902
Mailing Address635 Main St, Attn: Credentialing DepartmentMiddletown, CT 06457-2718 · (860) 347-6971 · Fax (860) 638-6601
Fax(860) 443-8720
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2004
Enumeration DateAugust 30, 2007
✔ NPI 1437343688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 045601
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.
1 SHAWS CV, New London, CT 06320

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

Claire Reardon 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 ID2466547179
PECOS Enrollment IDI20070926000664
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Claire Reardon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Family Planning Facility
345 WHITNEY AVE
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 120 clinicians in this Medicare group
Internal Medicine
819 WORCESTER ST, SUITE 3
Springfield, MA 01151
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Ipc Hospitalists Of New England PC
  • 88 clinicians in this Medicare group
Hospitalist
17000 MEDICAL CENTER DR
Baton Rouge, LA 70816
  • Reassigned Medicare billing, Connecticut enrollment
  • 127 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 3

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.

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.
285 services157 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
92 services91 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
67 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%224 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$17.59 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims16 services$91.10 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 20

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

Nurse Practitioner
1 SHAWS CV
NEW LONDON, CT 06320
Nurse Practitioner
1 SHAWS CV
NEW LONDON, CT 06320
Dental Hygienist
1 SHAWS CV
NEW LONDON, CT 06320
Nurse Practitioner (Family)
1 SHAWS CV
NEW LONDON, CT 06320
Registered Nurse
1 SHAWS CV
NEW LONDON, CT 06320
Counselor (Professional)
1 SHAWS CV
NEW LONDON, CT 06320
Nurse Practitioner (Psychiatric/Mental Health)
1 SHAWS CV
NEW LONDON, CT 06320
Psychologist (Clinical)
1 SHAWS CV
NEW LONDON, CT 06320

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 Claire Reardon's NPI number?

The NPI number for Claire Reardon is 1437343688. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Claire Reardon located?

Claire Reardon practices at 1 Shaws Cv, New London, CT 06320. The listed phone number is (860) 447-8304.

What is Claire Reardon's specialty?

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

Is Claire Reardon enrolled in Medicare?

Yes. Claire Reardon 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 Claire Reardon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Reardon reassigns Medicare benefits to 3 organizations: Planned Parenthood Of Southern New England, Inc. (New Haven, CT), Ipc Hospitalists Of New England, P.C. (Springfield, MA) and Hospital Medicine Associates LLC (Baton Rouge, LA). 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 Claire Reardon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claire Reardon accept?

Health plans from Anthem Blue Cross and Blue Shield list Claire Reardon 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 Claire Reardon was last updated on August 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.