Active NPI 1083932719 Individual Practitioner Male Practitioner

Dr. James Michael Parker , MD

Surgery • Middletown, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Parker, MD is a certified Surgery practicing in Middletown, CT. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Parker delivers high-quality medical care to the local community at 540 SAYBROOK RD STE 100.

Dr. Parker is affiliated with Mhs Primary Care, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

540 Saybrook Rd Ste 100

Middletown, CT 064574760

Telephone 8603582850

Fax 8603588698

Associated Practice Facility / Clinic

🏢 Mhs Primary Care Inc. Facility NPI 1740666312

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Middletown, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -3.8 yrs vs City Avg

City Avg: 25.8 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Middletown, CT (388 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Parker (22 Years) 22 Yrs

Middletown Specialty Average (25.8 Years) 25.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	26	$158.00	$83.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$253.98	$120.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$308.00	$138.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	16	$99.00	$52.54
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$162.51	$98.27
46600 Diagnostic examination of the anus using an endoscope	16	16	$225.00	$130.54
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	15	11	$353.00	$34.55
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$217.00	$88.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	20	$158.00	$82.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$260.00	$119.52
46600 Diagnostic examination of the anus using an endoscope	25	24	$225.00	$129.52
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$170.00	$96.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$308.00	$136.20
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$217.00	$87.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope	32	31	$225.00	$139.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$260.00	$118.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	14	$158.00	$75.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	16	$99.00	$40.72
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$170.00	$98.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$355.00	$180.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$308.00	$142.58
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$217.00	$96.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	21	$158.00	$74.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$260.00	$122.73
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$170.00	$99.88
46600 Diagnostic examination of the anus using an endoscope	28	28	$225.00	$138.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	21	$99.00	$39.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$308.00	$136.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$355.00	$182.73
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$217.00	$107.39
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$180.00	$80.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	22	$99.00	$42.54
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$170.00	$82.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	19	$158.00	$78.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$255.62	$118.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$308.00	$149.55
46600 Diagnostic examination of the anus using an endoscope	21	20	$225.00	$117.38
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$217.00	$110.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	26	$99.00	$42.15
46600 Diagnostic examination of the anus using an endoscope	52	46	$225.00	$107.30
99213 Established patient office or other outpatient visit, typically 15 minutes	49	39	$175.80	$80.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$241.00	$117.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	20	$158.00	$77.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$308.00	$146.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$170.00	$49.36
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$217.00	$108.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$170.00	$25.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	65	20	$104.72	$41.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$293.83	$116.39
46600 Diagnostic examination of the anus using an endoscope	50	42	$247.50	$99.15
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$193.33	$78.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	18	$190.89	$77.20
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	13	$65.45	$23.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$358.73	$145.20
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$269.20	$107.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$449.00	$176.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$297.00	$116.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	24	$105.00	$41.53
46600 Diagnostic examination of the anus using an endoscope	32	28	$250.00	$94.99
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$198.00	$78.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$370.00	$144.93
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	12	$55.00	$21.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$449.00	$175.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$121.00	$47.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$195.00	$76.26
99221 Initial hospital inpatient care per day, typically 30 minutes	13	12	$275.00	$107.82
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$205.00	$80.62

Medical Specialties & State Licenses

CMS Verified: 2021-03-03

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CT 049849

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

002294700 (FL)

Hospital & Practice Group Affiliations

Mhs Primary Care, Inc.

14 Jones Hollow Rd, Marlborough, CT 064471448

Phone: 8603582850

Mhs Primary Care, Inc.

540 Saybrook Rd, Middletown, CT 064574711

Phone: 8603585120

Mhs Primary Care, Inc.

28 Crescent St, Middletown, CT 064573654

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Kertrisa Mcwhite , MD

Surgery - Surgical Oncology

NPI 1023053485

Doctor of Medicine (M.D.)

Dr. David Augenblick , MD

Surgery

NPI 1073136305

Doctor of Medicine (M.D.)

Dr. Andrea Malon , MD

Surgery - Surgical Oncology

NPI 1306825609

Doctor of Medicine (M.D.)

Alana Vega , APRN

Nurse Practitioner - Family

NPI 1407636566

Advanced Practice Registered Nurse

Robert Brown , PA

Physician Assistant

NPI 1417378019

Physician Assistant

Dr. Debra King , PA, PhD

Physician Assistant - Surgical

NPI 1508042664

Physician Assistant, Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location March 03, 2021

Registered at 540 SAYBROOK RD STE 100, MIDDLETOWN, CT 064574760 (Tel: 8603582850)

✅

NPI Profile Active April 12, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 12, 2017

Registered at 520 SAYBROOK RD, SUITE 100, MIDDLETOWN, CT 064574700 (Tel: 8603462608)

📍

Updated Business Mailing Address April 12, 2017

Registered at 28 CRESCENT ST, MIDDLETOWN, CT 064573654 (Tel: 8603584820)

👤

Provider Name / Credentials Updated April 12, 2017

Recorded as JAMES PARKER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2017

Surgery (License #049849 in CT)

✅

NPI Profile Active June 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 23, 2016

Registered at 520 SAYBROOK RD STE S100, MIDDLETOWN, CT 064574700 (Tel: 8603462608)

📍

Updated Business Mailing Address June 23, 2016

Registered at 28 CRESCENT ST, MIDDLETOWN, CT 064573654 (Tel: 8603584820)

👤

Provider Name / Credentials Updated June 23, 2016

Recorded as JAMES PARKER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2016

Surgery (License #049849 in CT)

🟢

Initial NPI Registration & Enumeration May 05, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083932719

Entity Type:

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

Enumeration Date: May 05, 2010

Last Update: March 03, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

28 Crescent St

Middletown, CT 064573654

Phone: 8603584820

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.