DR. EMILY CLAIRE VAFEK M.D.
NPI 1790070043
Orthopaedic Surgery in Niantic, CT

Active since June 15, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
11 INDUSTRIAL PARK ROAD, NIANTIC, CT 06357(860) 889-7345 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 21, 2017 and 2 more (5 updates tracked since 2016).

About Dr. Emily Claire Vafek M.d. NPPES

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

DR. EMILY CLAIRE VAFEK M.D. (NPI 1790070043) is an individual orthopaedic surgery provider in Niantic, Connecticut, licensed in Connecticut (56460) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1790070043
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameDR. EMILY CLAIRE VAFEKCredential: M.D.
Location Address11 INDUSTRIAL PARK ROADNiantic, CT 06357
Mailing Address82 New Park AveNorth Franklin, CT 06254-1807 · (860) 889-7345 · Fax (860) 885-7222
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 15, 2011
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPI 1790070043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CT · 56460
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 56460 (CT), 036.140147 (IL)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 56460 (CT)
11 INDUSTRIAL PARK ROAD, Niantic, CT 06357

Secondary Practice Locations 2

Location 1Medical Center Blvd, Box 1070Winston Salem, NC 27157-1070 · Phone (336) 716-3946 · Fax (366) 716-3861
Location 282 New Park AveNorth Franklin, CT 06254-1807 · Phone (860) 889-7345

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. Emily Claire Vafek 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 ID4587965785
PECOS Enrollment IDI20170626002604
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 23

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 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.
250 services168 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
159 services109 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
155 services78 patients
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.
87 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
52 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06357 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
2 suppliers36 claims36 services$71.65 avg. paid by Medicare
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section L2820
DME-Orthotic Devices · category DF000N
3 suppliers12 claims14 services$89.78 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
3 suppliers41 claims41 services$268.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Physician Assistant
11 INDUSTRIAL PARK ROAD
NIANTIC, CT 06357
Orthopaedic Surgery
11 INDUSTRIAL PARK ROAD
NIANTIC, CT 06357
Physician Assistant (Surgical)
11 INDUSTRIAL PARK ROAD
NIANTIC, CT 06357

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 Emily Vafek's NPI number?

The NPI number for Emily Vafek is 1790070043. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Where is Emily Vafek located?

Emily Vafek practices at 11 Industrial Park Road, Niantic, CT 06357. The listed phone number is (860) 889-7345.

What is Emily Vafek's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Emily Vafek enrolled in Medicare?

Yes. Emily Vafek 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.

When was this NPI record last updated?

The NPPES record for Emily Vafek was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.