WAYNE PANULLO M.D.
NPI 1679616593
Internal Medicine - Gastroenterology in New Haven, CT
About Wayne Panullo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAYNE PANULLO M.D. (NPI 1679616593) is an individual gastroenterology provider in New Haven, Connecticut, licensed in Connecticut (027342) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
Wayne Panullo M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Wayne Panullo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Haven, CT 06519
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 clinicians in this Medicare group
New Haven, CT 06510
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Northeast Medical Group Inc
- 1,824 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06510 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
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 Wayne Panullo's NPI number?
The NPI number for Wayne Panullo is 1679616593. It was assigned to this individual provider in the NPPES registry on February 14, 2007.
Where is Wayne Panullo located?
Wayne Panullo practices at 40 Temple St Suite 4A, New Haven, CT 06510. The listed phone number is (203) 777-0304.
What is Wayne Panullo's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Wayne Panullo enrolled in Medicare?
Yes. Wayne Panullo 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 organizations bill Medicare for Wayne Panullo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wayne Panullo reassigns Medicare benefits to 2 organizations: Yale University (New Haven, CT) and Mill Hill Medical Consultants Inc (New Haven, CT). Each 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 Wayne Panullo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wayne Panullo accept?
Health plans from Anthem Blue Cross and Blue Shield list Wayne Panullo 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 Wayne Panullo was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Wayne Panullo, M.D. · NPI 1679616593
Gastroenterology physician in New Haven, Connecticut. Individual provider, active in the CMS NPPES registry since February 14, 2007.
## Identity
- **NPI:** 1679616593 (Entity type: Individual)
- **Enumerated:** February 14, 2007
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 027342 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 40 TEMPLE ST, SUITE 4A, New Haven, CT 06510-2715
- **Phone:** (203) 777-0304 · **Fax:** (203) 401-4687
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Yale University (NPI 1124148887, New Haven, CT); Mill Hill Medical Consultants Inc (NPI 1952624769, New Haven, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Washington University School Of Medicine, class of 1989
## Record status
- **NPPES last updated:** February 13, 2012
- **Other identifiers:** Medicare ID-Type Unspecified 100000090 (CT); Medicare UPIN D83578 (CO); Medicaid 001273424 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1679616593) · Data from the CMS NPPES public registry.