JOHN P ANCONA M.D.
NPI 1548359060
Pediatrics in Gales Ferry, CT

Active since October 12, 2006PECOS Enrolled
1527 ROUTE 12, GALES FERRY, CT 06335(860) 464-7248(860) 464-0125 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John P Ancona M.d. NPPES

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

JOHN P ANCONA M.D. (NPI 1548359060) is an individual pediatrics provider in Gales Ferry, Connecticut, licensed in Connecticut (041171) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548359060
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOHN P ANCONACredential: M.D.
Location Address1527 ROUTE 12Gales Ferry, CT 06335-1800
Mailing Address1527 Route 12, Po Box 608Gales Ferry, CT 06335-1800 · (860) 464-7248 · Fax (860) 464-0125
Fax(860) 464-0125
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJanuary 23, 2013
✔ NPI 1548359060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 041171
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1527 ROUTE 12, Gales Ferry, CT 06335

Other Identifiers 6

Other010041171CT01Blue Cross
Medicaid01411719CT
Other041171Cigna
Other041171Connecticare
Medicare UPIN01700R
Other2V4776Healthnet

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John P Ancona 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 John Ancona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospitalist
20 YORK ST, CB 2041
New Haven, CT 06510
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Northeast Medical Group Inc
  • 1,824 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06335 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.

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.

Dentist (Pediatric Dentistry)
1527 ROUTE 12
GALES FERRY, CT 06335
Dentist (General Practice)
1527 ROUTE 12
GALES FERRY, CT 06335
Pediatrics
1527 ROUTE 12, BOX 608
GALES FERRY, CT 06335
Pediatrics
1527 ROUTE 12
GALES FERRY, CT 06335
Internal Medicine
1527 ROUTE 12
GALES FERRY, CT 06335
Internal Medicine
1527 ROUTE 12, SUITE 1
GALES FERRY, CT 06335
Pediatrics
1527 ROUTE 12
GALES FERRY, CT 06335
Clinic/Center (Medical Specialty)
1527 ROUTE 12
GALES FERRY, CT 06335

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 John Ancona's NPI number?

The NPI number for John Ancona is 1548359060. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is John Ancona located?

John Ancona practices at 1527 Route 12, Gales Ferry, CT 06335. The listed phone number is (860) 464-7248.

What is John Ancona's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Ancona enrolled in Medicare?

Yes. John Ancona is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Ancona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Ancona reassigns Medicare benefits to Mill Hill Medical Consultants Inc (New Haven, 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 John Ancona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Ancona accept?

Health plans from Anthem Blue Cross and Blue Shield list John Ancona 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 John Ancona was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.