PAUL ROBERT ANTHONY JR. M.D.
NPI 1912156597
Internal Medicine - Infectious Disease in Hartford, CT

Active since September 18, 2008PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
80 SEYMOUR ST, HARTFORD, CT 06102(860) 972-9300(860) 972-7040 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2025, Apr 8, 2019, Aug 8, 2018 (3 updates tracked since 2018).

About Paul Robert Anthony Jr. M.d. NPPES

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

PAUL ROBERT ANTHONY JR. M.D. (NPI 1912156597) is an individual infectious disease provider in Hartford, Connecticut, licensed in Connecticut (051732) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1912156597
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NamePAUL ROBERT ANTHONY JR.Credential: M.D.
Location Address80 SEYMOUR STHartford, CT 06102-8000
Mailing Address80 Seymour StHartford, CT 06102-8000 · (860) 972-9300 · Fax (860) 972-7040
Fax(860) 972-7040
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 18, 2008
Last NPPES UpdateNovember 20, 20253 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1912156597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in CT · 051732
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 051732 (CT)
80 SEYMOUR ST, Hartford, CT 06102

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

Paul Robert Anthony 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 ID547485054
PECOS Enrollment IDI20140625001108
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

8

Medicare enrollment records show Paul Anthony reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • Also billed through NPI 1770696643 (Connecticut)
  • 1,333 clinicians in this Medicare group
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 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
Hospitalist
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 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
General Practice
59 FIELD STREET
Torrington, CT 06790
  • Reassigned Medicare billing, Connecticut enrollment
  • 288 clinicians in this Medicare group
General Acute Care Hospital
540 LITCHFIELD ST
Torrington, CT 06790
  • Reassigned Medicare billing, Connecticut enrollment
  • 374 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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
122 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
51 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services32 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06102 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
$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

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.

Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Dietitian, Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Physician Assistant (Surgical)
80 SEYMOUR ST
HARTFORD, CT 06102
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Anesthesiology
80 SEYMOUR ST
HARTFORD, CT 06102
Nurse Practitioner (Family)
80 SEYMOUR ST
HARTFORD, CT 06102
Student in an Organized Health Care Education/Training Program
80 SEYMOUR ST
HARTFORD, CT 06102

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 Paul Anthony's NPI number?

The NPI number for Paul Anthony is 1912156597. It was assigned to this individual provider in the NPPES registry on September 18, 2008.

Where is Paul Anthony located?

Paul Anthony practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 972-9300.

What is Paul Anthony's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Paul Anthony enrolled in Medicare?

Yes. Paul Anthony 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 Paul Anthony's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Anthony reassigns Medicare benefits to 8 organizations: Hartford Hospital (Hartford, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT), Windham Community Memorial Hospital, Inc. (Willimantic, CT), The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT), Midstate Medical Center (Meriden, CT) and 3 more organizations, listed in the Medicare section above. 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 Paul Anthony's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Anthony accept?

Health plans from Anthem Blue Cross and Blue Shield list Paul Anthony 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 Paul Anthony was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.