DR. MICHAEL E IVY MD
NPI 1780693630
Surgery - Surgical Critical Care in Wallingford, CT
About Dr. Michael E Ivy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL E IVY MD (NPI 1780693630) is an individual surgical critical care provider in Wallingford, Connecticut, licensed in Connecticut (035224) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Dr. Michael E Ivy Md 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 Michael Ivy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wallingford, CT 06492
- Reassigned Medicare billing, Connecticut enrollment
- 84 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.
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.
WALLINGFORD, CT 06492
WALLINGFORD, CT 06492
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 Michael Ivy's NPI number?
The NPI number for Michael Ivy is 1780693630. It was assigned to this individual provider in the NPPES registry on August 7, 2006.
Where is Michael Ivy located?
Michael Ivy practices at 50 Gaylord Farm Rd, Wallingford, CT 06492. The listed phone number is (203) 284-2800.
What is Michael Ivy's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.
Is Michael Ivy enrolled in Medicare?
Yes. Michael Ivy 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 Michael Ivy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ivy reassigns Medicare benefits to Gaylord Hospital, Inc. (Wallingford, 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 Michael Ivy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michael Ivy was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Michael E Ivy, MD · NPI 1780693630
Surgical Critical Care physician in Wallingford, Connecticut. Individual provider, active in the CMS NPPES registry since August 7, 2006.
## Identity
- **NPI:** 1780693630 (Entity type: Individual)
- **Enumerated:** August 7, 2006
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** 035224 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 GAYLORD FARM RD, Wallingford, CT 06492-2899
- **Phone:** (203) 284-2800
## 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:** Gaylord Hospital, Inc. (NPI 1730137753, Wallingford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 1987
## Record status
- **NPPES last updated:** July 29, 2026
- **Other identifiers:** Medicaid 001352244 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1780693630) · Data from the CMS NPPES public registry.