Kristofer Nathaniel Tupper, DO - Medicare Family Medicine in Fairfield, CT

  1. Home
  2. Family Medicine
  3. CT
  4. Fairfield
Kristofer Nathaniel Tupper, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Fairfield, Connecticut. His current practice location is 305 Black Rock Tpke, Fairfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 337-2600.

Kristofer Nathaniel Tupper is licensed to practice in Connecticut (license number 69436) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306378104.

Contact Information

Kristofer Nathaniel Tupper, DO
305 Black Rock Tpke,
Fairfield, CT 06825-5508
(203) 337-2600
(203) 337-2611

Map and Direction




Physician's Profile

Full NameKristofer Nathaniel Tupper
GenderMale
SpecialityFamily Medicine - Sports Medicine
Location305 Black Rock Tpke, Fairfield, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306378104
  • Provider Enumeration Date: 03/30/2017
  • Last Update Date: 01/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9234499674
  • Enrollment ID: I20240304002709

Medical Identifiers

Medical identifiers for Kristofer Nathaniel Tupper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306378104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 69436 (Connecticut)Secondary
207Q00000XFamily Medicine LP04070 (Rhode Island)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207QS0010XFamily Medicine - Sports Medicine 69436 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristofer Nathaniel Tupper allows following entities to bill medicare on his behalf.
Entity NameMass General Brigham Medical Group Suburban Massachusetts Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538191218
PECOS PAC ID: 0244133494
Enrollment ID: O20040127001012

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristofer Nathaniel Tupper is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristofer Nathaniel Tupper, DO
305 Black Rock Tpke,
Fairfield, CT 06825-5508

Ph: (203) 337-2600		Kristofer Nathaniel Tupper, DO
305 Black Rock Tpke,
Fairfield, CT 06825-5508

Ph: (203) 337-2600

Reviews and Comments


Family Medicine Doctors in Fairfield, CT

Veronica R Plasencia, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 Reef Rd, Room 203, Fairfield, CT 06824
Phone: 203-255-0215    
Kellie Watkins-colwell, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 Reef Rd, Room 203, Fairfield, CT 06824
Phone: 203-255-0215    Fax: 203-255-0046
Dina Elnaggar, MD, MS
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 305 Black Rock Tpke, Fairfield, CT 06825
Phone: 203-382-5556    
Dr. Leslie Robin Miller, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 52 Beach Rd, Ste 102, Fairfield, CT 06824
Phone: 203-256-9905    Fax: 203-254-9848
Dr. Larry E. Novik, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 325 Reef Rd, Suite 203, Fairfield, CT 06824
Phone: 203-255-0215    Fax: 203-255-0046
Garry Boxer,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1055 Post Rd, Fairfield, CT 06824
Phone: 203-371-4895    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.