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DR. THOMAS J., MCNAMEE JR. M.D.
NPI 1891753083
Obstetrics & Gynecology - Gynecology in New Haven, CT

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
89.86/100
CMS Quality Rating
428 COLUMBUS AVE, NEW HAVEN, CT 06519(203) 503-3000(203) 781-0276 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Thomas J., Mcnamee Jr. M.d. NPPES

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

DR. THOMAS J., MCNAMEE JR. M.D. (NPI 1891753083) is an individual gynecology provider in New Haven, Connecticut, licensed in Connecticut (023350) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1978).

NPPES Registry Identity

NPI1891753083
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. THOMAS J., MCNAMEE JR.Credential: M.D.
Location Address428 COLUMBUS AVENew Haven, CT 06519-1233
Mailing Address428 Columbus AvenueNew Haven, CT 06519 · (203) 503-3000 · Fax (203) 781-0276
Phone(203) 503-3000
Fax(203) 781-0276
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1978
Enumeration DateMay 4, 2006
Last NPPES UpdateJanuary 22, 2013
✔ NPI 1891753083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in CT · 023350
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
428 COLUMBUS AVE, New Haven, CT 06519
Open in Google Maps ↗

Other Identifiers 3

Other160002471CT · Medicare Ptan
Medicaid001233501CT
Medicare UPINE28743CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Thomas J., Mcnamee Jr. 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 ID2860565868
PECOS Enrollment IDI20080724000358
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

3

Medicare enrollment records show Thomas Mcnamee reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South-West Community Health Center, Inc
17 mi
Mental Health (Including Community Mental Health Center)
46 ALBION ST
Bridgeport, CT 06605
  • Reassigned Medicare billing, Connecticut enrollment
  • 126 clinicians in this Medicare group
NPI 1699703686 (203) 330-6000
Physicians For Women's Health LLC
28 mi
Obstetrics & Gynecology
175 CAPITAL BLVD STE 300
Rocky Hill, CT 06067
  • Reassigned Medicare billing, Connecticut enrollment
  • 371 clinicians in this Medicare group
NPI 1801826680 (860) 678-3400
Aizer Health , Inc.
64 mi
Federally Qualified Health Center (FQHC)
49 FOREST ROAD
Monroe, NY 10950
  • Reassigned Medicare billing, New York enrollment
  • 97 clinicians in this Medicare group
NPI 1063480218 (845) 782-3242

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

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.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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
$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.

89.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.17
Promoting Interoperability100
Improvement Activities40
Cost73.04

Reported Quality Measures

Breast Cancer Screening
70%264 patients4/55-star benchmark: 93%
Cervical Cancer Screening
95%1,043 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
12%75 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
78%1,617 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%1,119 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,044 patients
0%1,044 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ARTI BARNES MD, MBBS, MPH
Internal Medicine (Infectious Disease)
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
MRS. ROCCA L PERRUCCIO FNP
Nurse Practitioner (Family)
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
OLUREMI ALIYU
Internal Medicine
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3250
MRS. PAMELA ANN RULE FNP-BC
Nurse Practitioner (Family)
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3250
HANNAH ROSE RICHELIEU PA-C
Physician Assistant
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
CHAPMAN ELIZABETH DEATON DMD
Dentist
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
TUSHEMIA ROBERTS RN
Registered Nurse
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3284
DR. ALICIA EMENY INGALLS PITTARD M.D.
Pediatrics
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3030

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 Thomas Mcnamee's NPI number?

The NPI number for Thomas Mcnamee is 1891753083. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Thomas Mcnamee located?

Thomas Mcnamee practices at 428 Columbus Ave, New Haven, CT 06519. The listed phone number is (203) 503-3000.

What is Thomas Mcnamee's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Thomas Mcnamee enrolled in Medicare?

Yes. Thomas Mcnamee 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 Thomas Mcnamee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Mcnamee reassigns Medicare benefits to 3 organizations: South-West Community Health Center, Inc (Bridgeport, CT), Physicians For Women's Health LLC (Rocky Hill, CT) and Aizer Health , Inc. (Monroe, NY). 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 Thomas Mcnamee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Mcnamee accept?

Health plans from Anthem Blue Cross and Blue Shield list Thomas Mcnamee 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 Thomas Mcnamee was last updated on January 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.