MR. TED UBINA PAGULAYAN FNP-BC, APHN-BC
NPI 1689654394
Nurse Practitioner - Family in Groton, CT

Q: What is Ted Pagulayan's NPI number?

The NPI number for Ted Pagulayan is 1689654394. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Ted Pagulayan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ted Pagulayan was last updated on October 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 19, 2006PECOS Enrolled

1 WAHOO AVE, GROTON, CT 06340(860) 694-7512 Get Directions Write a Review

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

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About Mr. Ted Ubina Pagulayan Fnp-bc, Aphn-bc NPPES

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

MR. TED UBINA PAGULAYAN FNP-BC, APHN-BC (NPI 1689654394) is an individual family provider in Groton, Connecticut, licensed in District Of Columbia (30297876) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689654394

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. TED UBINA PAGULAYANCredential: FNP-BC, APHN-BC

Location Address1 WAHOO AVEGroton, CT 06340-2324

Mailing Address330 Crystal Ave, Unit # 5New London, CT 06320-6500 · (703) 618-0689

Phone(860) 694-7512

Sole ProprietorYes

Enumeration DateJanuary 19, 2006

Last NPPES UpdateOctober 17, 2011

✔ NPI 1689654394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in DC · 30297876

Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License 0001169726 (VA)

1 WAHOO AVE, Groton, CT 06340

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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 (PECOS)

Mr. Ted Ubina Pagulayan Fnp-bc, Aphn-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06340 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

$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.

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