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DR. JAMES A OUELLETTE MD
NPI 1457364564
Family Medicine in Marlborough, CT

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
14 JONES HOLLOW RD, MARLBOROUGH, CT 06447(860) 295-8217(860) 295-9734 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James A Ouellette Md NPPES

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

DR. JAMES A OUELLETTE MD (NPI 1457364564) is an individual family medicine provider in Marlborough, Connecticut, licensed in Connecticut (033867) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1992).

NPPES Registry Identity

NPI1457364564
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES A OUELLETTECredential: MD
Location Address14 JONES HOLLOW RDMarlborough, CT 06447-1448
Mailing Address4 Farm Springs Rd, Prohealth PhysiciansFarmington, CT 06032-2573 · (860) 284-5200 · Fax (860) 284-5333
Phone(860) 295-8217
Fax(860) 295-9734
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1992
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1457364564 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 · 033867
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.
14 JONES HOLLOW RD, Marlborough, CT 06447
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Other Identifiers 1

Medicare UPINF86566CT

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. James A Ouellette 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 ID8729984679
PECOS Enrollment IDI20040116000967
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 11

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.
125 services83 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.
102 services79 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.
68 services68 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
54 services54 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
54 services53 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
51 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06447 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.

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.

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 supplier12 claims12 services$52.06 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers15 claims2,856 services$0.04 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers15 claims15 services$26.07 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 14

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

ORTHOPEDIC ASSOCIATES OF MIDDLETOWN, PC
Orthopaedic Surgery
14 JONES HOLLOW RD, SUITE 5
MARLBOROUGH, CT 06447
Capitol Planning Region (860) 295-8751
JENNIFER REY APRN
Nurse Practitioner (Family)
14 JONES HOLLOW RD
MARLBOROUGH, CT 06447
Capitol Planning Region (860) 295-8217
DR. SUSAN BUCHEK MD
Family Medicine
14 JONES HOLLOW RD
MARLBOROUGH, CT 06447
Capitol Planning Region (860) 295-8217
DR. MARK D TUTTLE M.D.
Family Medicine
14 JONES HOLLOW RD
MARLBOROUGH, CT 06447
Capitol Planning Region (860) 295-8217
MRS. CHRISTINE MARIE MANTHORNE PA
Physician Assistant
14 JONES HOLLOW RD
MARLBOROUGH, CT 06447
Capitol Planning Region (860) 295-8217
MRS. NANCY ANNE VISCO ATC
Specialist/Technologist (Athletic Trainer)
14 JONES HOLLOW RD, SUITE 7
MARLBOROUGH, CT 06447
Capitol Planning Region (860) 295-8188
ORTHOPAEDIC & NEUROSURGERY SPECIALISTS, PLLC
Orthopaedic Surgery
14 JONES HOLLOW RD, SUITE 5
MARLBOROUGH, CT 06447
Capitol Planning Region (869) 295-8751
MRS. LINDSAY SARAH TARKINGTON PA
Physician Assistant (Medical)
14 JONES HOLLOW RD
MARLBOROUGH, CT 06447
Capitol Planning Region (860) 295-8217

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 James Ouellette's NPI number?

The NPI number for James Ouellette is 1457364564. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is James Ouellette located?

James Ouellette practices at 14 Jones Hollow Rd, Marlborough, CT 06447. The listed phone number is (860) 295-8217.

What is James Ouellette's specialty?

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

Is James Ouellette enrolled in Medicare?

Yes. James Ouellette 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 James Ouellette was last updated on July 8, 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.