MARY GINA RATCHFORD M.D.
NPI 1578688909
Ophthalmology in Berlin, CT
About Mary Gina Ratchford M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY GINA RATCHFORD M.D. (NPI 1578688909) is an individual ophthalmology provider in Berlin, Connecticut, licensed in Connecticut (037297) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Gina Ratchford M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Gina Ratchford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Berlin, CT 06037
- Reassigned Medicare billing, Connecticut enrollment
- 4 clinicians in this Medicare group
New Britain, CT 06051
- Reassigned Medicare billing, Connecticut enrollment
- 468 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.
Areas of Expertise CMS Part B claims 14
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Gina Ratchford's NPI number?
The NPI number for Mary Gina Ratchford is 1578688909. It was assigned to this individual provider in the NPPES registry on March 21, 2007.
Where is Mary Gina Ratchford located?
Mary Gina Ratchford practices at 1166 Farmington Ave., Berlin, CT 06037. The listed phone number is (860) 829-8939.
What is Mary Gina Ratchford's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Mary Gina Ratchford enrolled in Medicare?
Yes. Mary Gina Ratchford 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.
Which organizations bill Medicare for Mary Gina Ratchford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Gina Ratchford reassigns Medicare benefits to 2 organizations: Ratchford Eye Center LLC (Berlin, CT) and Starling Physicians, PLLC (New Britain, CT). Each 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 Mary Gina Ratchford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Gina Ratchford accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Mary Gina Ratchford 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 Mary Gina Ratchford was last updated on June 29, 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.
# Mary Gina Ratchford, M.D. · NPI 1578688909
Ophthalmology physician in Berlin, Connecticut. Individual provider, active in the CMS NPPES registry since March 21, 2007.
## Identity
- **NPI:** 1578688909 (Entity type: Individual)
- **Enumerated:** March 21, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 037297 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1166 FARMINGTON AVE., Berlin, CT 06037-2302
- **Phone:** (860) 829-8939 · **Fax:** (860) 829-8938
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ratchford Eye Center LLC (NPI 1003995077, Berlin, CT); Starling Physicians, PLLC (NPI 1720182991, New Britain, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 1990
## Record status
- **NPPES last updated:** June 29, 2020
- **Other identifiers:** Medicaid 001372979 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1578688909) · Data from the CMS NPPES public registry.