IAN GRAGNOLATI PA-C
NPI 1689368466
Physician Assistant in West Hartford, CT

Q: What is Ian Gragnolati's NPI number?

The NPI number for Ian Gragnolati is 1689368466. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Q: What is Ian Gragnolati's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ian Gragnolati was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 06, 2023PECOS EnrolledAccepts Medicare Assignment

836 FARMINGTON AVE STE 207, WEST HARTFORD, CT 06119(860) 232-9911 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2023, Jun 15, 2023, Jun 6, 2023 (3 updates tracked since 2023).

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About Ian Gragnolati Pa-c NPPES

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

IAN GRAGNOLATI PA-C (NPI 1689368466) is an individual physician assistant in West Hartford, Connecticut, licensed in Connecticut (6212) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689368466

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameIAN GRAGNOLATICredential: PA-C

Location Address836 FARMINGTON AVE STE 207West Hartford, CT 06119-1551

Mailing Address25 Roberts StWindsor Locks, CT 06096-2113 · (860) 970-4913

Phone(860) 232-9911

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 6, 2023

Last NPPES UpdateAugust 22, 20233 updates tracked since enumeration

NPPES CertifiedAugust 22, 2023

✔ NPI 1689368466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CT · 6212

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

836 FARMINGTON AVE STE 207, West Hartford, CT 06119

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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

Ian Gragnolati Pa-c 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 ID7810439452

PECOS Enrollment IDI20240611000505

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

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 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.

19 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06119 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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