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ETNY RAUL CANDELARIO MD
NPI 1568084150
Family Medicine in Mystic, CT

Active since May 18, 2020PECOS EnrolledAccepts Medicare Assignment
100 PERKINS FARM DR STE 203, MYSTIC, CT 06355(860) 576-8911(860) 572-7758 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2024, May 18, 2020 (2 updates tracked since 2020).

About Etny Raul Candelario Md NPPES

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

ETNY RAUL CANDELARIO MD (NPI 1568084150) is an individual family medicine provider in Mystic, Connecticut, licensed in Connecticut (79070) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1568084150
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameETNY RAUL CANDELARIOCredential: MD
Location Address100 PERKINS FARM DR STE 203Mystic, CT 06355-4041
Mailing Address1339 Fair AveSan Antonio, TX 78223-1437 · (210) 923-4372 · Fax (210) 923-5581
Phone(860) 576-8911
Fax(860) 572-7758
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 18, 2020
Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1568084150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CT · 79070✔ Licensed in MI · 4301510053✔ Licensed in TX · U6458
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.
100 PERKINS FARM DR STE 203, Mystic, CT 06355
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Secondary Practice Location 1

Location 11339 Fair AveSan Antonio, TX 78223-1437 · Phone (210) 923-4372 · Fax (210) 923-5581

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Etny Raul Candelario 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 ID4981086162
PECOS Enrollment IDI20240904001976
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 8

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.
77 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 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.
30 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services20 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.
20 services20 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06355 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 2

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

DR. KELSEY LEE FINN DO
Family Medicine
100 PERKINS FARM DR STE 203
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 572-8911
GRAY MCCAFFERY FNP-BC
Nurse Practitioner (Family)
100 PERKINS FARM DR STE 203
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (201) 787-1446

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 Etny Candelario's NPI number?

The NPI number for Etny Candelario is 1568084150. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Where is Etny Candelario located?

Etny Candelario practices at 100 Perkins Farm Dr Ste 203, Mystic, CT 06355. The listed phone number is (860) 576-8911.

What is Etny Candelario's specialty?

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

Is Etny Candelario enrolled in Medicare?

Yes. Etny Candelario 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.

What insurance does Etny Candelario accept?

Health plans from Blue Cross and Blue Shield of Texas list Etny Candelario 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.

Is Etny Candelario affiliated with any hospitals?

According to CMS data, Etny Candelario is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Etny Candelario was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.