BRYAN P HAGGERTY PAC
NPI 1669492054
Physician Assistant - Surgical in Hartford, CT

NPI Status: Active since July 20, 2006

Contact Information

114 WOODLAND ST
SURGERY DEPT.
HARTFORD, CT
ZIP 06105
Phone: (860) 714-4694
Fax: (860) 714-8096

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  • Individual
  • Male
  • Years of Experience 23
  • Physician Assistant
  • Surgical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About BRYAN HAGGERTY

This page provides the complete NPI Profile along with additional information for Bryan Haggerty, a provider established in Hartford, Connecticut with a medical specialization in Physician Assistant, focusing in surgical and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1669492054 assigned on July 2006. The practitioner's primary taxonomy code is 363AS0400X with license number 1779 (). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1669492054
Provider Name
BRYAN P HAGGERTY PAC
Gender
Male
Entity Type
Individual
Location Address
114 WOODLAND ST SURGERY DEPT. HARTFORD, CT 06105
Location Phone
(860) 714-4694
Location Fax
(860) 714-8096
Mailing Address
1000 ASYLUM AVE SUITE 2109A HARTFORD, CT 06105
Mailing Phone
(860) 714-6581
Mailing Fax
(860) 714-8096
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
07-20-2006
Last Update Date
06-16-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1779

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

001779 (CT)

Medicare Participation & PECOS Enrollment Status

Bryan Haggerty is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Bryan Haggerty is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9931103470

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20060914000158

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 40 times for 39 patients

Replacement of thigh bone and hip joint with prosthesis

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

This service was performed 11 times for 11 patients

Reviews for BRYAN P HAGGERTY PAC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669492054
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26129894010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 8 + 9 + 4 + 0 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1669492054 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MR. DANIEL DIVER MD

Internal Medicine

(Cardiovascular Disease)

114 WOODLAND ST
HARTFORD, CT
ZIP 06105

(860) 714-4161

EYTAN RUBINSTIEN MD

Internal Medicine

(Infectious Disease)

114 WOODLAND ST
INFECTIOUS
HARTFORD, CT
ZIP 06105

(860) 714-4903

JOSE ARIAS-CAMISON MD

Pediatrics

(Neonatal-Perinatal Medicine)

114 WOODLAND ST
NICU
HARTFORD, CT
ZIP 06105

(860) 714-4404

HEMA DESILVA MD

Pediatrics

(Neonatal-Perinatal Medicine)

114 WOODLAND ST
NICU
HARTFORD, CT
ZIP 06105

(860) 714-4404

BIMALIN LAHIRI MD

Internal Medicine

(Pulmonary Disease)

114 WOODLAND ST
PULMONARY
HARTFORD, CT
ZIP 06105

(860) 714-4059

DANIEL GERARDI MD

Internal Medicine

(Pulmonary Disease)

114 WOODLAND ST
PULMONARY
HARTFORD, CT
ZIP 06105

(860) 714-4055

JOEL BERNSTEIN PA

Physician Assistant

114 WOODLAND ST
NICU
HARTFORD, CT
ZIP 06105

(860) 714-4404

MELISSA PERREGAUX PA

Physician Assistant

114 WOODLAND ST
NICU
HARTFORD, CT
ZIP 06105

(860) 714-6581

SUZANNE WEEKLY APRN

Nurse Practitioner

(Neonatal, Critical Care)

114 WOODLAND ST
NICU
HARTFORD, CT
ZIP 06105

(860) 714-4404

RAYMOND DUNNE PA

Physician Assistant

(Medical)

114 WOODLAND ST
NICU
HARTFORD, CT
ZIP 06105

(860) 714-4404

LAURIE SEEGER PA

Physician Assistant

114 WOODLAND ST
NICU
HARTFORD, CT
ZIP 06105

(860) 714-4404

JAMES LUNN PA

Physician Assistant

(Surgical)

114 WOODLAND ST
DEPT OF SURGERY
HARTFORD, CT
ZIP 06105

(860) 714-4694

MARGARET GRAMMATICO PA

Physician Assistant

114 WOODLAND ST
PEDIATRICS DEPARTMENT
HARTFORD, CT
ZIP 06105

(860) 714-4828

SUE KEEFE APRN

Nurse Practitioner

(Gerontology)

114 WOODLAND ST
DEPT OF GERIATRICS
HARTFORD, CT
ZIP 06105

(860) 714-4749

ROBERT STRANGE PA

Physician Assistant

114 WOODLAND ST
NICU
HARTFORD, CT
ZIP 06105

(860) 714-4404

LISA RINALDI PA

Physician Assistant

(Surgical)

114 WOODLAND ST
DEPT OF SURGERY
HARTFORD, CT
ZIP 06105

(860) 714-4694

JOHN PIKE PA

Physician Assistant

(Surgical)

114 WOODLAND ST
DEPT OF SURGERY
HARTFORD, CT
ZIP 06105

(860) 714-4694

JEFFREY MOSS PA

Physician Assistant

(Surgical)

114 WOODLAND ST
DEPT OF SURGERY
HARTFORD, CT
ZIP 06105

(860) 714-4694

ALBERT KISSLING JR. PA

Physician Assistant

(Surgical)

114 WOODLAND ST
DEPT OF SURGERY
HARTFORD, CT
ZIP 06105

(860) 714-4694

CRYSTAL CLARKIN PA

Physician Assistant

(Surgical)

114 WOODLAND ST
DEPT OF SURGERY
HARTFORD, CT
ZIP 06105

(860) 714-4694

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669492054, enumerated as an "individual" on July 20, 2006.

The provider is located at 114 WOODLAND ST SURGERY DEPT. HARTFORD, CT 06105 and the phone number is (860) 714-4694.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.