Active NPI 1467426775 Individual Practitioner Male Practitioner

Dr. Timothy Edward Goundrey , MD

Surgery • Plainville, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Goundrey, MD is a certified Surgery practicing in Plainville, CT. With approximately 26 years of clinical experience since graduating from University Of Connecticut School Of Medicine in 2000, Dr. Goundrey delivers high-quality medical care to the local community at 201 N MOUNTAIN RD STE 201.

Dr. Goundrey is affiliated with Hartford Healthcare Medical Group Specialists Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, subsequent hospital care with moderate levelof 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

201 N Mountain Rd Ste 201

Plainville, CT 060621848

Telephone 8602230800

Fax 8602418296

Associated Practice Facility / Clinic

🏢 Hartford Healthcare At Home, Inc Facility NPI 1548283674

Medicare Profile & Education

Medical School

University Of Connecticut School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Plainville, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +10.5 yrs vs City Avg

City Avg: 15.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Plainville, CT (388 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Goundrey (26 Years) 26 Yrs

Plainville Specialty Average (15.5 Years) 15.5 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$275.81	$113.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$411.35	$174.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$313.85	$127.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$368.33	$175.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$248.60	$118.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$355.00	$173.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$242.00	$116.00
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$161.00	$94.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$237.00	$137.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$356.43	$180.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$242.00	$121.48
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$161.00	$94.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$365.00	$177.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$242.00	$117.18
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$161.00	$81.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	11	$158.00	$77.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$239.67	$117.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$401.75	$216.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	17	$161.00	$80.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$365.00	$177.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$237.00	$117.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$242.00	$117.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$365.00	$176.75
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$161.00	$78.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$237.00	$115.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$365.00	$175.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$242.00	$116.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$237.00	$110.31
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$161.00	$78.43

Medical Specialties & State Licenses

CMS Verified: 2023-09-08

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CT 043222

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

001432228 (CT)

Hospital & Practice Group Affiliations

Hartford Healthcare Medical Group Specialists Pllc

201 N Mountain Rd, Plainville, CT 060621848

Phone: 8602298881

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. James Matino , MD

Surgery

NPI 1063463313

Doctor of Medicine (M.D.)

Dr. Nazer Qureshi , MD

Neurological Surgery

NPI 1407978380

Doctor of Medicine (M.D.)

Victoria Pryputniewicz , PA

Physician Assistant - Surgical

NPI 1568137404

Physician Assistant

Dr. Richard Newman , MD

Surgery

NPI 1578538559

Doctor of Medicine (M.D.)

Brandon Kusako , PHYSICIAN ASSISTANT

Physician Assistant - Surgical

NPI 1831798362

PHYSICIANASSISTANT

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 08, 2023

Registered at 201 N MOUNTAIN RD STE 201, PLAINVILLE, CT 060621848 (Tel: 8602230800)

📍

Updated Business Mailing Address September 08, 2023

Registered at 1290 SILAS DEANE HWY, WETHERSFIELD, CT 061094337 (Tel: 8609729093)

✅

NPI Profile Active March 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 14, 2016

Registered at 1000 ASYLUM AVENUE, SUITE 3207, HARTFORD, CT 06105 (Tel: 8602410870)

📍

Updated Business Mailing Address March 14, 2016

Registered at 1000 ASYLUM AVENUE, SUITE 3207, HARTFORD, CT 06105 (Tel: 8602410870)

👤

Provider Name / Credentials Updated March 14, 2016

Recorded as TIMOTHY GOUNDREY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2016

Surgery (License #043222 in CT)

🟢

Initial NPI Registration & Enumeration February 14, 2006

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: 1467426775

Entity Type:

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

Enumeration Date: February 14, 2006

Last Update: September 08, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1290 Silas Deane Hwy

Wethersfield, CT 061094337

Phone: 8609729093

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.