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CHARLES A KARCUTSKIE IV MD
NPI 1851735799
Surgery - Plastic and Reconstructive Surgery in Avon, CT

Active since April 22, 2013PECOS Enrolled
120 SIMSBURY RD, AVON, CT 06001(860) 242-0505(860) 243-3913 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, Apr 1, 2020 (2 updates tracked since 2020).

About Charles A Karcutskie Iv Md NPPES

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

CHARLES A KARCUTSKIE IV MD (NPI 1851735799) is an individual plastic and reconstructive surgery provider in Avon, Connecticut, licensed in Connecticut (1.074353) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851735799
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameCHARLES A KARCUTSKIE IVCredential: MD
Location Address120 SIMSBURY RDAvon, CT 06001-4235
Mailing Address120 Simsbury Rd # A26Avon, CT 06001-4235 · (860) 242-0505 · Fax (860) 243-3913
Phone(860) 242-0505
Fax(860) 243-3913
Sole ProprietorNo
Enumeration DateApril 22, 2013
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1851735799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in CT · 1.074353
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgeryTaxonomy 208600000X · License 1.074353 (CT)
120 SIMSBURY RD, Avon, CT 06001
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles A Karcutskie Iv Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Charles Karcutskie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Plastic Surgery Center LLC
43 mi
Plastic and Reconstructive Surgery
5-1 DAVIS ROAD WEST, SUITE 3
Old Lyme, CT 06371
  • Reassigned Medicare billing, Connecticut enrollment
  • 2 clinicians in this Medicare group
NPI 1932586682 (917) 699-3727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

CONNECTICUT SURGICAL GROUP, PC
Durable Medical Equipment & Medical Supplies
120 SIMSBURY RD
AVON, CT 06001
Capitol Planning Region (860) 246-2071

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 Charles Karcutskie's NPI number?

The NPI number for Charles Karcutskie is 1851735799. It was assigned to this individual provider in the NPPES registry on April 22, 2013.

Where is Charles Karcutskie located?

Charles Karcutskie practices at 120 Simsbury Rd, Avon, CT 06001. The listed phone number is (860) 242-0505.

What is Charles Karcutskie's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Charles Karcutskie enrolled in Medicare?

Yes. Charles Karcutskie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Karcutskie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Karcutskie reassigns Medicare benefits to Northeast Plastic Surgery Center LLC (Old Lyme, 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 Charles Karcutskie'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 Charles Karcutskie was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.