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DR. CAROLYN COUTURE M.D.
NPI 1730173527
Internal Medicine in Wilton, CT

Active since September 07, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 07D1060053 · Waiver
79.07/100
CMS Quality Rating
35 OLD RIDGEFIELD RD, WILTON, CT 06897(203) 762-6233(203) 762-6244 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2025, Mar 2, 2023, Jan 24, 2023 and 4 more (7 updates tracked since 2016).

About Dr. Carolyn Couture M.d. NPPES

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

DR. CAROLYN COUTURE M.D. (NPI 1730173527) is an individual internal medicine provider in Wilton, Connecticut, licensed in Connecticut (042321) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 15, 2027, and is a graduate of University Of Vermont College Of Medicine (1992).

NPPES Registry Identity

NPI1730173527
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CAROLYN COUTURECredential: M.D.
Location Address35 OLD RIDGEFIELD RDWilton, CT 06897-3060
Mailing Address35 Ridgefield RdWilton, CT 06897-2523 · (203) 276-4015 · Fax (203) 276-4334
Phone(203) 762-6233
Fax(203) 762-6244
Sole ProprietorYes
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1992
Enumeration DateSeptember 7, 2005
Last NPPES UpdateMarch 20, 20257 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1730173527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CT · 042321✔ Licensed in CT · 42321
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
35 OLD RIDGEFIELD RD, Wilton, CT 06897
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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

Dr. Carolyn Couture 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.

PECOS PAC ID941264303
PECOS Enrollment IDI20041116000119, I20090327000302
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D1060053

Dr Carolyn Couture Personalized Medical Care · Wilton, CT
Active · expires Feb 15, 2027
CLIA Number07D1060053
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorCarolyn M. Couture
Laboratory Phone(203) 762-6233
Laboratory LocationDr Carolyn Couture Personalized Medical Care35 Old Ridgefield Rd, Wilton, CT 06897
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.
225 services74 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
77 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
74 services50 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
45 services43 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06897 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
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.

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.

79.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.19
Promoting Interoperability99
Improvement Activities40
Cost57.89

Other Providers at the Same Location NPPES 2

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

CARRIE NISA SMUCKLER LMFT
Marriage & Family Therapist
35 OLD RIDGEFIELD RD
WILTON, CT 06897
Western Connecticut Planning Region (203) 712-0099
DR CAROLYN COUTURE PERSONALIZED MEDICAL CARE PLLC
Internal Medicine
35 OLD RIDGEFIELD RD
WILTON, CT 06897
Western Connecticut Planning Region (203) 241-4848

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 Carolyn Couture's NPI number?

The NPI number for Carolyn Couture is 1730173527. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Carolyn Couture located?

Carolyn Couture practices at 35 Old Ridgefield Rd, Wilton, CT 06897. The listed phone number is (203) 762-6233.

What is Carolyn Couture's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carolyn Couture enrolled in Medicare?

Yes. Carolyn Couture 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.

Does Carolyn Couture hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1060053) is associated with this NPI, valid through February 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolyn Couture was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.