PAUL L FORTGANG MD
NPI 1649292566
Otolaryngology in New Haven, CT

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
94.17/100
CMS Quality Rating
1 LONG WHARF DR, SUITE 302, NEW HAVEN, CT 06511(203) 865-1185(203) 776-7741 Get Directions Write a Review

NPPES record last updated: July 2, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul L Fortgang Md NPPES

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

PAUL L FORTGANG MD (NPI 1649292566) is an individual otolaryngology provider in New Haven, Connecticut, licensed in Connecticut (028622) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1980).

NPPES Registry Identity

NPI1649292566
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NamePAUL L FORTGANGCredential: MD
Location Address1 LONG WHARF DR, SUITE 302New Haven, CT 06511-5991
Mailing Address1 Long Wharf Dr, Suite 302New Haven, CT 06511-5991 · (203) 865-1185 · Fax (203) 776-7741
Fax(203) 776-7741
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1980
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 2, 2009
NPI 1649292566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in CT · 028622
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X · License 028622 (CT)
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License 028622 (CT)
1 LONG WHARF DR, New Haven, CT 06511

Other Identifiers 4

Medicaid001286228CT
Medicare UPINB38995
Other040001967CT · Railroad Medicare Pin
Medicare ID-Type Unspecified040000188CT

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

Paul L Fortgang 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 ID8224191630
PECOS Enrollment IDI20090112000427
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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
581 services394 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
245 services231 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
242 services200 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
237 services228 patients
Established patient office or other outpatient visit, 10-19 minutes 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.
217 services176 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
171 services171 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06511 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
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

94.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality81.94
Promoting Interoperability99.39
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,492 patients5/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
96%1,061 patients4/55-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 certified EHR technology to the patient (or the patient-authorized representative), or in…
0%1,021 patients1/55-star benchmark: 77%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
0%325 patients1/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers13 claims13 services$9.41 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims72 services$1.76 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.

Otolaryngology
1 LONG WHARF DR, SUITE 302
NEW HAVEN, CT 06511
Registered Nurse
1 LONG WHARF DR, SUITE 321
NEW HAVEN, CT 06511
Otolaryngology
1 LONG WHARF DR, SUITE 302
NEW HAVEN, CT 06511
Otolaryngology
1 LONG WHARF DR, SUITE 302
NEW HAVEN, CT 06511
Otolaryngology
1 LONG WHARF DR, SUITE 302
NEW HAVEN, CT 06511
Otolaryngology
1 LONG WHARF DR, SUITE 302
NEW HAVEN, CT 06511
Otolaryngology
1 LONG WHARF DR, SUITE 302
NEW HAVEN, CT 06511
Otolaryngology
1 LONG WHARF DR, SUITE 302
NEW HAVEN, CT 06511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649292566, enumerated as an "individual" on July 24, 2006.

The provider is located at 1 LONG WHARF DR SUITE 302 NEW HAVEN, CT 06511 and the phone number is (203) 865-1185.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.