LORI J. CRETELLA MD
NPI 1619934130
Psychiatry & Neurology - Neurology in North Haven, CT

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
6 DEVINE ST, NORTH HAVEN, CT 06473(203) 789-6047 Get Directions Write a Review

NPPES record last updated: December 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lori J. Cretella Md NPPES

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

LORI J. CRETELLA MD (NPI 1619934130) is an individual neurology provider in North Haven, Connecticut, licensed in Connecticut (039546) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (1996).

NPPES Registry Identity

NPI1619934130
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameLORI J. CRETELLACredential: MD
Location Address6 DEVINE STNorth Haven, CT 06473-2195
Mailing Address226 Mill Hill Ave, 3rd FloorBridgeport, CT 06610-2826 · (203) 789-6047
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1996
Enumeration DateApril 27, 2006
Last NPPES UpdateDecember 4, 2015
NPI 1619934130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in CT · 039546
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
6 DEVINE ST, North Haven, CT 06473

Other Identifiers 4

Medicaid001395468CT
Medicare PINP00017159CT
Other010039546CT03CT · Anthem Blue Cross And Blu
Medicare UPINH38105CT

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

Lori J. Cretella 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 ID2163430190
PECOS Enrollment IDI20060331000555
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 6

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
13,246 services18 patients
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.
92 services73 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
64 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
50 services50 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.
47 services35 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.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06473 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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

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.

Pharmacist (Oncology)
6 DEVINE ST
NORTH HAVEN, CT 06473
Student in an Organized Health Care Education/Training Program
6 DEVINE ST
NORTH HAVEN, CT 06473
Nurse Practitioner (Family)
6 DEVINE ST
NORTH HAVEN, CT 06473
Internal Medicine (Pulmonary Disease)
6 DEVINE ST
NORTH HAVEN, CT 06473
Pharmacist
6 DEVINE ST
NORTH HAVEN, CT 06473
Student in an Organized Health Care Education/Training Program
6 DEVINE ST
NORTH HAVEN, CT 06473
Allergy & Immunology
6 DEVINE ST
NORTH HAVEN, CT 06473
Psychiatry & Neurology (Neurology)
6 DEVINE ST, SUITE 2B
NORTH HAVEN, CT 06473

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 Lori Cretella's NPI number?

The NPI number for Lori Cretella is 1619934130. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Lori Cretella located?

Lori Cretella practices at 6 Devine St, North Haven, CT 06473. The listed phone number is (203) 789-6047.

What is Lori Cretella's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Lori Cretella enrolled in Medicare?

Yes. Lori Cretella 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.

When was this NPI record last updated?

The NPPES record for Lori Cretella was last updated on December 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.