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DR. JAYME LEIGH MICKELSON D.O.
NPI 1497989123
Internal Medicine in Bristol, CT

Active since May 09, 2009PECOS EnrolledAccepts Medicare Assignment
93.56/100
CMS Quality Rating
22 PINE ST, BRISTOL, CT 06010(860) 584-8291(860) 581-8354 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2020, May 16, 2016 (2 updates tracked since 2016).

About Dr. Jayme Leigh Mickelson D.o. NPPES

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

DR. JAYME LEIGH MICKELSON D.O. (NPI 1497989123) is an individual internal medicine provider in Bristol, Connecticut, licensed in Connecticut (053732) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newington, and is a graduate of University Of New England, College Of Osteo Medicine (2009).

NPPES Registry Identity

NPI1497989123
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAYME LEIGH MICKELSONCredential: D.O.
Location Address22 PINE STBristol, CT 06010-6948
Mailing Address22 Pine StBristol, CT 06010-6948 · (860) 584-8291 · Fax (860) 581-8354
Phone(860) 584-8291
Fax(860) 581-8354
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2009
Enumeration DateMay 9, 2009
Last NPPES UpdateMarch 24, 20202 updates tracked since enumeration
NPPES CertifiedMarch 24, 2020
✔ NPI 1497989123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CT · 053732✔ Licensed in MN · 55713
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.
22 PINE ST, Bristol, CT 06010
Open in Google Maps ↗

Secondary Practice Location 1

Location 1129 Patricia M Genova DrNewington, CT 06111-1543 · Phone (860) 972-8100 · Fax (860) 545-1455

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. Jayme Leigh Mickelson D.o. 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 ID2961653738
PECOS Enrollment IDI20150130000250
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.
294 services142 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.
61 services61 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.
56 services54 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
51 services48 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
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.
39 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06010 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.

93.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.51
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers27 claims72 services$5.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers16 claims16 services$1.01 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 17

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

CHRISTOPHER TAGLIAVINI PA-C
Physician Assistant (Surgical)
22 PINE ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 584-8291
IN BLOOM COUNSELING, LLC
Counselor (Mental Health)
22 PINE ST, SUITE 205
BRISTOL, CT 06010
Naugatuck Valley Planning Region (203) 626-1605
STEPHANIE MILAN
Psychologist (Clinical)
22 PINE ST, SUITE 205
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 845-2068
DR. JOHN RICHARD MELANSON D.M.D.
Dentist (General Practice)
22 PINE ST, SUITE 208
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 314-0589
DEANNA JOHNSON
Counselor (Mental Health)
22 PINE ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (203) 626-1605
DR. DAVID M SPITZ
Chiropractor
22 PINE ST, SUITE 216
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 583-4346
MS. KAYLA NICOLE KENNEDY PA-C
Physician Assistant (Medical)
22 PINE ST, SUITE 104
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 584-8291
DR. JOSEPH MARAKOVITS MD
Internal Medicine (Cardiovascular Disease)
22 PINE ST, SUITE 304
BRISTOL, CT 06010
Naugatuck Valley Planning Region (960) 582-3235

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 Jayme Mickelson's NPI number?

The NPI number for Jayme Mickelson is 1497989123. It was assigned to this individual provider in the NPPES registry on May 9, 2009.

Where is Jayme Mickelson located?

Jayme Mickelson practices at 22 Pine St, Bristol, CT 06010. The listed phone number is (860) 584-8291.

What is Jayme Mickelson's specialty?

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

Is Jayme Mickelson enrolled in Medicare?

Yes. Jayme Mickelson 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 Jayme Mickelson was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.