ANDREW WORMSER MD
NPI 1649279167
Internal Medicine in New Haven, CT

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
46 PRINCE ST, NEW HAVEN, CT 06519(203) 772-0011(203) 785-9352 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew Wormser Md NPPES

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

ANDREW WORMSER MD (NPI 1649279167) is an individual internal medicine provider in New Haven, Connecticut, licensed in Connecticut (1266238) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1979).

NPPES Registry Identity

NPI1649279167
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANDREW WORMSERCredential: MD
Location Address46 PRINCE STNew Haven, CT 06519-1600
Mailing Address9 Washington Ave, 2nd FloorHamden, CT 06518-3267 · (203) 248-3013 · Fax (203) 248-2878
Fax(203) 785-9352
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1979
Enumeration DateJuly 18, 2005
Last NPPES UpdateOctober 17, 2011
NPI 1649279167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 1266238
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

46 PRINCE ST, New Haven, CT 06519

Other Identifiers 8

Other2047739CT · Aetna
Medicare ID-Type Unspecified110006915CT
Other110158519CT · Railroad Medicare
Other010026623CT01CT · Blue Cross Blue Shield
OtherNHP073CT · Oxford
Other0Q2059CT · Health Net
Other726623CT · Connecticare
Medicare UPINB18750CT

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

Andrew Wormser 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 ID9032299896
PECOS Enrollment IDI20101008000265
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 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.

Established patient office or other outpatient visit, 30-39 minutes 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.
447 services244 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
278 services185 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
211 services211 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
204 services132 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.
190 services190 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
151 services94 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers19 claims45 services$6.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims13 services$0.73 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$4.00 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,934 services$0.24 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$37.27 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims780 services$0.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Cardiovascular Disease)
46 PRINCE ST
NEW HAVEN, CT 06519
Internal Medicine (Cardiovascular Disease)
46 PRINCE ST
NEW HAVEN, CT 06519
Internal Medicine (Cardiovascular Disease)
46 PRINCE ST
NEW HAVEN, CT 06519
Internal Medicine (Cardiovascular Disease)
46 PRINCE ST
NEW HAVEN, CT 06519
Otolaryngology
46 PRINCE ST
NEW HAVEN, CT 06519
Registered Nurse (Diabetes Educator)
46 PRINCE ST
NEW HAVEN, CT 06519
Advanced Practice Midwife
46 PRINCE ST, #207
NEW HAVEN, CT 06519
Otolaryngology
46 PRINCE ST, SUITE 601
NEW HAVEN, CT 06519

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 Andrew Wormser's NPI number?

The NPI number for Andrew Wormser is 1649279167. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Andrew Wormser located?

Andrew Wormser practices at 46 Prince St, New Haven, CT 06519. The listed phone number is (203) 772-0011.

What is Andrew Wormser's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrew Wormser enrolled in Medicare?

Yes. Andrew Wormser 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 Andrew Wormser was last updated on October 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.