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MR. GREGORY RICHARD CRISCUOLO JR. PA-C
NPI 1962829101
Physician Assistant in New Britain, CT

Active since March 26, 2014PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
1 LAKE ST, NEW BRITAIN, CT 06052(860) 258-3470 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2019, Mar 22, 2017, Dec 17, 2015 (3 updates tracked since 2015).

About Mr. Gregory Richard Criscuolo Jr. Pa-c NPPES

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

MR. GREGORY RICHARD CRISCUOLO JR. PA-C (NPI 1962829101) is an individual physician assistant in New Britain, Connecticut, licensed in Connecticut (3047) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Lincoln Memorial University Medical Department (2013).

NPPES Registry Identity

NPI1962829101
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. GREGORY RICHARD CRISCUOLO JR.Credential: PA-C
Location Address1 LAKE STNew Britain, CT 06052-1396
Mailing Address360 Bloomfield Ave, Ste 209Windsor, CT 06095-2700 · (860) 258-3470
Phone(860) 258-3470
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2013
Enumeration DateMarch 26, 2014
Last NPPES UpdateOctober 11, 20193 updates tracked since enumeration
✔ NPI 1962829101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CT · 3047
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 LAKE ST, New Britain, CT 06052
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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

Mr. Gregory Richard Criscuolo Jr. Pa-c 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 ID4082830195
PECOS Enrollment IDI20140725002190
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 4

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 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.
106 services76 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.
32 services32 patients
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.
22 services20 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06052 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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.37
Promoting Interoperability100
Improvement Activities40
Cost56.52

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,055 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
5%39 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
84%407 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
12%1,277 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
17%1,277 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%1,277 patients1/55-star benchmark: 59%
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.

ROBERT I WASSERMAN RPT
Physical Therapist
1 LAKE ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 348-4850
DR. SARIT M PATEL M.D.
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1 LAKE ST, GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 826-4460
ALEXIS COUGHLAN PA-C
Physician Assistant
1 LAKE ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 832-4666
DR. MARTIN C SEREMET M.D.
Ophthalmology
1 LAKE ST, GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 826-4460
DR. EDWARD P FITZPATRICK M.D.
Ophthalmology
1 LAKE ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 826-4460
CALAN SOWA M.D.
Internal Medicine (Sports Medicine)
1 LAKE ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 832-4666
DR. CHRISTOPHER NORWOOD M.D.
Dermatology (Procedural Dermatology)
1 LAKE ST, GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 348-4242
RICHARD FABIAN SCARLETT MD
Orthopaedic Surgery
1 LAKE ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 832-4666

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 Gregory Criscuolo's NPI number?

The NPI number for Gregory Criscuolo is 1962829101. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Gregory Criscuolo located?

Gregory Criscuolo practices at 1 Lake St, New Britain, CT 06052. The listed phone number is (860) 258-3470.

What is Gregory Criscuolo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gregory Criscuolo enrolled in Medicare?

Yes. Gregory Criscuolo 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 Gregory Criscuolo was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.