Active NPI 1447244645 Individual Practitioner Male Practitioner

Dr. Alfredo A Arbulu , MD

Surgery • Enfield, CT

Professional Overview & Biography Verified Profile Summary

Dr. Alfredo Arbulu, MD is a registered healthcare professional specializing in Surgery in Enfield, CT. Practice services are available at 15 PALOMBA DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, removal of tissue from wound, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15 Palomba Dr

Enfield, CT 060823888

Telephone 8602535586

Fax 8602536271

Associated Practice Facility / Clinic

🏢 Medical Center Pharmacy Llc Facility NPI 1811008071

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Enfield, CT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 57.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Enfield, CT (388 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	52	23	$120.77	$60.58
11042 Removal of skin and tissue, 20.0 sq cm or less	37	13	$209.97	$74.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	77	$119.61	$57.70
11042 Removal of skin and tissue, 20.0 sq cm or less	93	26	$205.00	$66.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	33	$94.78	$27.77
97597 Removal of tissue from wound, 20.0 sq cm or less	44	25	$192.00	$25.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$229.50	$99.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$172.16	$98.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$314.00	$155.18
11104 Punch biopsy, first skin growth	13	11	$153.69	$118.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	85	$146.12	$58.33
11042 Removal of skin and tissue, 20.0 sq cm or less	78	39	$263.95	$69.43
97597 Removal of tissue from wound, 20.0 sq cm or less	40	20	$209.45	$26.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	29	$203.91	$92.08
11100 Biopsy of single growth of skin and/or tissue	28	21	$175.00	$110.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$97.00	$25.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$311.27	$152.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$229.60	$101.99
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$143.13	$75.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$250.00	$140.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	200	88	$152.83	$57.61
11042 Removal of skin and tissue, 20.0 sq cm or less	115	39	$286.77	$65.68
97597 Removal of tissue from wound, 20.0 sq cm or less	30	11	$216.37	$23.71
11100 Biopsy of single growth of skin and/or tissue	30	26	$180.73	$99.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	27	$243.97	$135.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$96.36	$27.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	15	$115.00	$71.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$221.95	$97.86
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$200.00	$100.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$196.26	$95.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$335.00	$142.32
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$144.00	$71.92

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CT 000018047

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Medical Genetics, Ph.D. Medical Genetics

NUCC Taxonomy Code: 170100000X

State License CT 018047

A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1180470 (CT)

Commercial Insurance / Payer ID Blue Care Family Plan

00118047000 (CT)

Commercial Insurance / Payer ID Connecticare

070083 (CT)

Commercial Insurance / Payer ID Aetna

4260627 (CT)

Commercial Insurance / Payer ID United Health Care

61373363 (CT)

Commercial Insurance / Payer ID Oxford Health Plans

P489093 (CT)

Commercial Insurance / Payer ID Cigna

0240898-003 (CT)

Commercial Insurance / Payer ID Bcbs

010018047-CT01 (CT)

Commercial Insurance / Payer ID Health Net

0R3608 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Dr. Virginia Riggs , MD

Legal Medicine

NPI 1043219058

Doctor of Medicine (M.D.)

Eman Elsayed

Pharmacist

NPI 1174110506

Ashraf Moustafa

Pharmacist

NPI 1326496811

Dr. Timothy Fignar , MD

Family Medicine

NPI 1396766440

Doctor of Medicine (M.D.)

Dr. Ian Tucker , MD

Family Medicine

NPI 1538130836

Doctor of Medicine (M.D.)

Dr. Jeffrey Thompsen , MD

Internal Medicine - Cardiovascular Disease

NPI 1598705832

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 28, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 28, 2013

Registered at 15 PALOMBA DR, ENFIELD, CT 060823888 (Tel: 8602535586)

📍

Updated Business Mailing Address October 28, 2013

Registered at 15 PALOMBA DR, ENFIELD, CT 060823853 (Tel: 8602535586)

👤

Provider Name / Credentials Updated October 28, 2013

Recorded as ALFREDO ARBULU, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2013

Medical Genetics, Ph.D. Medical Genetics (License #018047 in CT)

🟢

Initial NPI Registration & Enumeration September 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447244645

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 02, 2005

Last Update: October 28, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

15 Palomba Dr

Enfield, CT 060823853

Phone: 8602535586

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.