DONNA FORD APRN
NPI 1609064054
Nurse Practitioner - Adult Health in New Britain, CT

NPI Status: Active since October 11, 2007

Contact Information

1 LAKE ST
NEW BRITAIN, CT
ZIP 06052
Phone: (860) 348-4242
Fax: (860) 348-4646

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  • Individual
  • Female
  • Years of Experience 19
  • Nurse Practitioner
  • Adult Health
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About DONNA FORD

This page provides the complete NPI Profile along with additional information for Donna Ford, a provider established in New Britain, Connecticut with a medical specialization in Nurse Practitioner, focusing in adult health and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1609064054 assigned on October 2007. The practitioner's primary taxonomy code is 363LA2200X with license number 003681 (CT). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1609064054
Provider Name
DONNA FORD APRN
Gender
Female
Entity Type
Individual
Location Address
1 LAKE ST NEW BRITAIN, CT 06052
Location Phone
(860) 348-4242
Location Fax
(860) 348-4646
Mailing Address
300 KENSINGTON AVE NEW BRITAIN, CT 06051
Mailing Phone
(860) 224-6200
Mailing Fax
(860) 348-4646
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
10-11-2007
Last Update Date
05-08-2013
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A nurse practitioner (NP) like Donna Ford is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Adult Health

Taxonomy Code
363LA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
003681
License State
CT

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
500002089MEDICARE PIN (08)CT 
400003681CT01OTHER (01)CTBCBS NEW BRITAIN OFFICE
400003681CT02OTHER (01)CTBCBS CROMWELL OFFICE
423198OTHER (01)CTWELLCARE MEDICARE
004272283MEDICAID (05)CT 
103681OTHER (01)CTCONNECTICARE

Medicare Participation & PECOS Enrollment Status

Donna Ford is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Donna Ford is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9638267537

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20071109000422

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of related skin growth, first growth

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

This service was performed 28 times for 27 patients

Destruction of precancer skin growth, 1 growth

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

This service was performed 43 times for 25 patients

Destruction of precancer skin growth, 2-14 growths

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

This service was performed 129 times for 20 patients

Destruction of skin growth, 1-14 growths

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

This service was performed 44 times for 32 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 56 times for 47 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 79 times for 47 patients

New patient office or other outpatient visit, 15-29 minutes

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

This service was performed 23 times for 23 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 13 times for 13 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $23.46 for a new patient copayment and $26.67 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 06052 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $93.86
  • Minimum New Patient Price $60.82
  • Maximum New Patient Price $183.1
  • Average New Patient Copayment $23.46
  • Minimum New Patient Copayment $15.2
  • Maximum New Patient Copayment $45.77

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $106.68
  • Minimum Established Patient Price $19.76
  • Maximum Established Patient Price $149.26
  • Average Established Patient Copayment $26.67
  • Minimum Established Patient Copayment $4.94
  • Maximum Established Patient Copayment $37.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
e-Prescribing 97% 4430
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 21% 67
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 at least one transition of care or referral.
Medication Reconciliation 41% 914
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.
Participation in CAHPS or other supplemental questionnaireYesN/A
Participation in the Consumer Assessment of Healthcare Providers and Systems Survey or other supplemental questionnaire items (e.g., Cultural Competence or Health Information Technology supplemental item sets).
Patient-Specific Education 10% 2095
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.
Provide Patient Access 30% 2095
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 certain information.
Secure Messaging 2% 2095
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 message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609064054
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609068010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 0 + 6 + 8 + 0 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1609064054 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437152360DR. CORLIS L. ARCHER-GOODE M.D.
Individual
Urology1 LAKE ST BLDG B2ND
NEW BRITAIN, CT 06052
(860) 826-4453
1144222415DR. EDWARD P FITZPATRICK M.D.
Individual
Ophthalmology1 LAKE ST
NEW BRITAIN, CT 06052
(860) 826-4460
1558369561DR. JARED M INSEL M.D.
Individual
Internal Medicine (Cardiovascular Disease)1 LAKE ST
NEW BRITAIN, CT 06052
(860) 223-0220
1932107851DR. KEITH A KAPLAN M.D.
Individual
Urology1 LAKE ST
NEW BRITAIN, CT 06052
(860) 826-4453
1407854276DR. ALAN M KUDLER M.D.
Individual
Internal Medicine (Cardiovascular Disease)1 LAKE ST GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
(860) 223-0220
1174523583DR. CHRISTOPHER NORWOOD M.D.
Individual
Dermatology1 LAKE ST GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
(860) 348-4242
1356341648DR. ROBERT NAPOLETANO M.D.
Individual
Surgery1 LAKE ST GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
(860) 826-4457
1891797775DR. JAN R PARIS M.D.
Individual
Internal Medicine (Cardiovascular Disease)1 LAKE ST GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
(860) 223-0220
1720080476DR. MARK PENNINGTON M.D.
Individual
Dermatology1 LAKE ST GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
(860) 348-4242
1104812973DR. MARTIN C SEREMET M.D.
Individual
Ophthalmology1 LAKE ST GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
(860) 826-4460
1447247614DR. MORGAN S WERNER M.D.
Individual
Internal Medicine (Cardiovascular Disease)1 LAKE ST GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
(860) 223-0220
1669469839DR. ROBERT AJ AVE'LALLEMANT M.D.
Individual
Urology1 LAKE ST GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
(860) 826-4453
1740277714DR. ALAN L STERN M.D.
Individual
Ophthalmology1 LAKE ST GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
(860) 826-4460
1811972755DR. MICHAEL G POSNER M.D.
Individual
Surgery1 LAKE ST GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
(860) 826-4457
1275564205DR. PAUL J CEPLENSKI M.D.
Individual
Urology1 LAKE ST
NEW BRITAIN, CT 06052
(860) 826-4453
1225040884DR. STEPHEN JOHN BOSCO DMD
Individual
Dentist (Oral and Maxillofacial Surgery)1 LAKE ST SUITE 101
NEW BRITAIN, CT 06052
(860) 223-8107
1316057870 GREGORY KUBRYNSKI PT
Individual
Physical Therapist1 LAKE ST
NEW BRITAIN, CT 06052
(860) 348-4850
1316036940 KERYN J RAUSCH APRN
Individual
Nurse Practitioner1 LAKE ST BLDG. B
NEW BRITAIN, CT 06052
(860) 826-4453
1053494385 ROBERT I WASSERMAN RPT
Individual
Physical Therapist1 LAKE ST
NEW BRITAIN, CT 06052
(860) 348-4850
1689727109DR. WALTER FRED THAL D.D.S.
Individual
Dentist (Pediatric Dentistry)1 LAKE ST BUILDING B
NEW BRITAIN, CT 06052
(860) 224-2419

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609064054, enumerated in the NPI registry as an "individual" on October 11, 2007

The provider is located at 1 Lake St New Britain, Ct 06052 and the phone number is (860) 348-4242

The provider's speciality is Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health

The provider has more than 19 years of experience.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $93.86 with an average copayment of $23.46 for new patient appointments. Established patients should expect a typical charge of $106.68 and an average copayment of 26.67. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Biopsy of related skin growth, first growth, Destruction of precancer skin growth, 1 growth, Destruction of precancer skin growth, 2-14 growths, Destruction of skin growth, 1-14 growths, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, New patient office or other outpatient visit, 15-29 minutes and New patient office or other outpatient visit, 30-44 minutes.

This NPI record was last updated on October 11, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.