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KENNETH J DOBULER M.D.
NPI 1518997352
Internal Medicine - Pulmonary Disease in Derby, CT

Active since July 04, 2006PECOS Enrolled
130 DIVISION ST, DERBY, CT 06418(203) 732-7573(203) 732-7418 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kenneth J Dobuler M.d. NPPES

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

KENNETH J DOBULER M.D. (NPI 1518997352) is an individual pulmonary disease provider in Derby, Connecticut, licensed in Connecticut (019661) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518997352
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameKENNETH J DOBULERCredential: M.D.
Location Address130 DIVISION STDerby, CT 06418-1326
Mailing Address130 Division StDerby, CT 06418 · (203) 732-7573 · Fax (203) 732-7418
Phone(203) 732-7573
Fax(203) 732-7418
Sole ProprietorNo
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518997352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CT · 019661
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
130 DIVISION ST, Derby, CT 06418
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Other Identifiers 2

Medicare UPINB38306CT
Medicaid00119661700CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth J Dobuler M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kenneth Dobuler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pulmonary Specialties, P.C.
Same address
Pulmonary Disease
130 DIVISION ST
Derby, CT 06418
  • Reassigned Medicare billing, Connecticut enrollment
  • 4 clinicians in this Medicare group
NPI 1437354560 (203) 732-7573

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06418 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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%257 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
77%452 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%146 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
82%1,040 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
14%918 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
70%1,040 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,040 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
5%1,040 patients
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 11

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers81 claims81 services$32.78 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers65 claims65 services$73.90 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers65 claims185 services$28.80 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers20 claims119 services$12.43 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers25 claims139 services$13.50 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers47 claims47 services$41.65 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.

MRS. CHRISTINA ERNST MS,RD,CDN
Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7579
STACEY LEARY RD, CDN, CNSC
Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7585
DR. DWAYNE ALANSIER HALL DNP
Nurse Practitioner
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-7421
DR. SYBIL CHENG D.O.
Emergency Medicine (Emergency Medical Services)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7403
PETER J. INTEGLIA CRNA
Nurse Anesthetist, Certified Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-6493
RORY V CONDON MSN, MA
Nurse Practitioner (Psychiatric/Mental Health)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 887-0604
TRENT GARCIA MD
Student in an Organized Health Care Education/Training Program
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-7421
DOMENIC MICHAEL BIELLO JR. PHARMD
Pharmacist
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7450

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 Kenneth Dobuler's NPI number?

The NPI number for Kenneth Dobuler is 1518997352. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Kenneth Dobuler located?

Kenneth Dobuler practices at 130 Division St, Derby, CT 06418. The listed phone number is (203) 732-7573.

What is Kenneth Dobuler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kenneth Dobuler enrolled in Medicare?

Yes. Kenneth Dobuler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Dobuler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Dobuler reassigns Medicare benefits to Pulmonary Specialties, P.C. (Derby, CT). The 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 Kenneth Dobuler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Dobuler 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.