JEFFREY D KNISPEL M.D.
NPI 1710983036
Dermatology in Newtown, CT
About Jeffrey D Knispel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY D KNISPEL M.D. (NPI 1710983036) is an individual dermatology provider in Newtown, Connecticut, licensed in Connecticut (038731) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Jeffrey D Knispel 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 Reassignment
Medicare enrollment records show Jeffrey Knispel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newtown, CT 06470
- Reassigned Medicare billing, Connecticut enrollment
- 9 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 36
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 06470 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.
Reported Quality Measures
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWTOWN, CT 06470
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 Jeffrey Knispel's NPI number?
The NPI number for Jeffrey Knispel is 1710983036. It was assigned to this individual provider in the NPPES registry on June 22, 2005.
Where is Jeffrey Knispel located?
Jeffrey Knispel practices at 170 Mount Pleasant Rd Ste 201, Newtown, CT 06470. The listed phone number is (203) 792-4151.
What is Jeffrey Knispel's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Jeffrey Knispel enrolled in Medicare?
Yes. Jeffrey Knispel 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 organization bills Medicare for Jeffrey Knispel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Knispel reassigns Medicare benefits to Dermatology Associates Of Western Connecticut, PC (Newtown, CT). The 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 Jeffrey Knispel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Knispel accept?
Health plans from Anthem Blue Cross and Blue Shield list Jeffrey Knispel 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 Jeffrey Knispel was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.