PATRICIA DEFUSCO MD
NPI 1851496061
Internal Medicine - Hematology & Oncology in Avon, CT

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
80 FISHER DRIVE, HARTFORD HOSPITAL CANCER CENTER, AVON, CT 06001(860) 674-0088 Get Directions Write a Review

NPPES record last updated: March 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 14, 2021, Sep 24, 2018 (2 updates tracked since 2018).

About Patricia Defusco Md NPPES

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

PATRICIA DEFUSCO MD (NPI 1851496061) is an individual hematology & oncology provider in Avon, Connecticut, licensed in Connecticut (023881) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Boston University School Of Medicine (1980).

NPPES Registry Identity

NPI1851496061
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NamePATRICIA DEFUSCOCredential: MD
Location Address80 FISHER DRIVE, HARTFORD HOSPITAL CANCER CENTERAvon, CT 06001
Mailing Address80 Fisher Drive, Hartford Hospital Cancer CenterAvon, CT 06001-3798 · (860) 674-0088
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1980
Enumeration DateSeptember 13, 2006
Last NPPES UpdateMarch 14, 20212 updates tracked since enumeration
NPPES CertifiedMarch 14, 2021
✔ NPI 1851496061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in CT · 023881
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 023881 (CT)
80 FISHER DRIVE, Avon, CT 06001

Secondary Practice Locations 5

Location 185 Seymour Street, Hartford Hospital Cancer CenterHartford, CT 06106-5501 · Phone (860) 674-0088
Location 285 Retreat Avenue, Hartford Hospital Cancer CenterHartford, CT 06106-2555 · Phone (860) 674-0088
Location 3376 Tolland Turnpike, Hartford Hospital Cancer CenterManchester, CT 06042-9999 · Phone (860) 674-0088
Location 480 Seymour Street, Hartford Hospital Cancer CenterHartford, CT 06102-5037 · Phone (860) 674-0088
Location 51260 Silas Deane HwyWethersfield, CT 06109-4362 · Phone (860) 258-2375 · Fax (860) 571-6805

Other Identifiers 1

Medicaid00123881502CT

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

Patricia Defusco 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.

PECOS PAC ID9537240791
PECOS Enrollment IDI20100818000982
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Patricia Defusco reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
80 SEYMOUR ST
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,333 clinicians in this Medicare group
Hospitalist
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 clinicians in this Medicare group
General Acute Care Hospital
112 MANSFIELD AVE
Willimantic, CT 06226
  • Reassigned Medicare billing, Connecticut enrollment
  • 302 clinicians in this Medicare group
General Acute Care Hospital
435 LEWIS AVE
Meriden, CT 06451
  • Reassigned Medicare billing, Connecticut enrollment
  • 505 clinicians in this Medicare group
Psychiatric Unit
326 WASHINGTON ST
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 430 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 3

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.
214 services139 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.
170 services99 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06001 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
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.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

Referred Medical Equipment & Supplies CMS DME claims 2

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier18 claims1,260 services$0.75 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier20 claims20 services$18.98 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 2

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

Nurse Practitioner
80 FISHER DRIVE, HARTFORD HOSPITAL CANCER CENTER
AVON, CT 06001
Internal Medicine (Medical Oncology)
80 FISHER DRIVE, HARTFORD HOSPITAL CANCER CENTER
AVON, CT 06001

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 Patricia Defusco's NPI number?

The NPI number for Patricia Defusco is 1851496061. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Patricia Defusco located?

Patricia Defusco practices at 80 Fisher Drive Hartford Hospital Cancer Center, Avon, CT 06001. The listed phone number is (860) 674-0088.

What is Patricia Defusco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Patricia Defusco enrolled in Medicare?

Yes. Patricia Defusco 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 organizations bill Medicare for Patricia Defusco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Defusco reassigns Medicare benefits to 5 organizations: Hartford Hospital (Hartford, CT), The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT), Windham Community Memorial Hospital, Inc. (Willimantic, CT), Midstate Medical Center (Meriden, CT) and William W Backus Hospital (Norwich, CT). Each 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 Patricia Defusco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Defusco accept?

Health plans from Anthem Blue Cross and Blue Shield list Patricia Defusco 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 Patricia Defusco was last updated on March 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.