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DONNA FORD APRN
NPI 1609064054
Nurse Practitioner - Adult Health in New Britain, CT

Active since October 11, 2007PECOS EnrolledAccepts Medicare Assignment
1 LAKE ST, NEW BRITAIN, CT 06052(860) 348-4242(860) 348-4646 Get Directions Write a Review

NPPES record last updated: May 8, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donna Ford Aprn NPPES

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

DONNA FORD APRN (NPI 1609064054) is an individual adult health provider in New Britain, Connecticut, licensed in Connecticut (003681) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1609064054
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDONNA FORDCredential: APRN
Location Address1 LAKE STNew Britain, CT 06052-1396
Mailing Address300 Kensington AveNew Britain, CT 06051-3916 · (860) 224-6200 · Fax (860) 224-6260
Phone(860) 348-4242
Fax(860) 348-4646
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 11, 2007
Last NPPES UpdateMay 8, 2013
✔ NPI 1609064054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CT · 003681
1 LAKE ST, New Britain, CT 06052
Open in Google Maps ↗

Other Identifiers 6

Medicare PIN500002089CT
Other400003681CT01CT · Bcbs New Britain Office
Other400003681CT02CT · Bcbs Cromwell Office
Other423198CT · Wellcare Medicare
Medicaid004272283CT
Other103681CT · Connecticare

Accepted Insurance

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

Donna Ford Aprn 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 ID9638267537
PECOS Enrollment IDI20071109000422
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 Donna Ford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Starling Physicians, PLLC
0.1 mi
Clinical Medical Laboratory
1 LAKE ST, GROVE HILL MEDICAL CENTER
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 468 clinicians in this Medicare group
NPI 1437252806 (860) 827-4600

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 7

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
195 services25 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.
96 services66 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
54 services39 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
52 services35 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
35 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06052 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.

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.
97%4,430 patients4/55-star benchmark: 100%
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…
21%67 patients1/55-star benchmark: 96%
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.
41%914 patients1/55-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.
10%2,095 patients1/55-star benchmark: 99%
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…
30%2,095 patients2/55-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…
2%2,095 patients1/55-star benchmark: 59%
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.

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.

ALEXANDRA DEANGELIS PA-C
Physician Assistant
1 LAKE ST
NEW BRITAIN, CT 06052
Capitol Planning Region (203) 767-3758
ROBERT I WASSERMAN RPT
Physical Therapist
1 LAKE ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 348-4850
DR. SARIT M PATEL M.D.
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1 LAKE ST, GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 826-4460
ALEXIS COUGHLAN PA-C
Physician Assistant
1 LAKE ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 832-4666
DR. MARTIN C SEREMET M.D.
Ophthalmology
1 LAKE ST, GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 826-4460
DR. EDWARD P FITZPATRICK M.D.
Ophthalmology
1 LAKE ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 826-4460
CALAN SOWA M.D.
Internal Medicine (Sports Medicine)
1 LAKE ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 832-4666
DR. CHRISTOPHER NORWOOD M.D.
Dermatology (Procedural Dermatology)
1 LAKE ST, GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 348-4242

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 Donna Ford's NPI number?

The NPI number for Donna Ford is 1609064054. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Where is Donna Ford located?

Donna Ford practices at 1 Lake St, New Britain, CT 06052. The listed phone number is (860) 348-4242.

What is Donna Ford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Donna Ford enrolled in Medicare?

Yes. Donna Ford 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 organization bills Medicare for Donna Ford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Ford reassigns Medicare benefits to Starling Physicians, PLLC (New Britain, 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 Donna Ford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Ford accept?

Health plans from Anthem Blue Cross and Blue Shield list Donna Ford 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 Donna Ford was last updated on May 8, 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.