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Evan Perez , PA-C

Physician Assistant • Bristol, CT

Active NPI 1659021699 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

625 Clark Ave # B
Bristol, CT 060104068

Call 8605837700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

625 Clark Ave # B

Bristol, CT 060104068

Telephone 8605837700
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Prohealth Physicians Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Medicare patients

211 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $64,478 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $51,060 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

9,410 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$431,703 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Evan Perez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Evan Perez as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bristol and Connecticut

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Bristol, CT (2024, 13 clinicians with data). Median for this group: 216. Middle half: 102 to 315.

More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Connecticut (2024, 913 clinicians with data). Median for this group: 208. Middle half: 64 to 420.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Bristol, CT (2024, 13 clinicians with data). Median for this group: $23,211. Middle half: $11,399 to $31,262.

A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Connecticut (2024, 913 clinicians with data). Median for this group: $17,082. Middle half: $6,233 to $31,724.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Bristol, CT (2024, 13 clinicians with data). Median for this group: $16,093. Middle half: $9,082 to $24,061.

A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Connecticut (2024, 913 clinicians with data). Median for this group: $12,731. Middle half: $4,626 to $23,380.

Medicare Part D prescriptions

More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Bristol, CT (2024, 15 clinicians with data). Median for this group: 377. Middle half: 42 to 2,152.

More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Connecticut (2024, 997 clinicians with data). Median for this group: 225. Middle half: 56 to 692.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Bristol, CT (2024, 15 clinicians with data). Median for this group: $2,993. Middle half: $257 to $207,759.

A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Connecticut (2024, 997 clinicians with data). Median for this group: $2,787. Middle half: $445 to $78,108.

23 active clinicians are listed under Physician Assistant with a practice address in Bristol, CT (2,047 in Connecticut).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bristol

21.7% of these 23 clinicians have the CMS telehealth indicator.

60.9% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2022–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
315 179 $210.00 $113.62
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
108 63 $17.00 $14.29
80061 Blood test, lipids (cholesterol and triglycerides)
72 58 $66.00 $13.12
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
69 56 $27.00 $7.61
80048 Blood test, basic group of blood chemicals (calcium, total)
59 42 $29.00 $8.29
36415 Insertion of needle into vein for collection of blood sample
58 43 $18.00 $8.65
83036 Hemoglobin a1c level
58 47 $35.00 $9.52
80053 Blood test, comprehensive group of blood chemicals
49 44 $35.00 $10.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
49 41 $283.00 $159.44
G0008 Administration of influenza virus vaccine
30 30 $52.00 $33.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
30 30 $253.00 $114.90
82550 Creatine kinase (cardiac enzyme) level, total
28 26 $25.00 $6.38
82570 Creatinine level to test for kidney function or muscle injury
28 27 $22.00 $5.08
84443 Blood test, thyroid stimulating hormone (tsh)
28 23 $55.00 $16.46
90653 Influenza vaccine, inactivated
26 26 $66.00 $64.68
82607 Cyanocobalamin (vitamin b-12) level
18 16 $50.00 $14.78
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
18 18 $60.00 $12.74
81001 Manual urinalysis test with examination using microscope, automated
16 15 $11.00 $3.11
82306 Vitamin d-3 level
16 14 $97.00 $29.01
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
16 14 $143.00 $80.76
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
15 15 $65.00 $50.28
87502 Detection test by nucleic acid for multiple types influenza virus
14 14 $137.00 $93.88
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
14 14 $323.00 $291.42
82043 Urine microalbumin (protein) level
11 11 $27.00 $5.66
G0009 Administration of pneumococcal vaccine
11 11 $52.00 $33.90

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Rosuvastatin Calcium Rosuvastatin Calcium 216 18,153 $2,015.06 88
Atorvastatin Calcium Atorvastatin Calcium 206 15,163 $1,652.03 69
Levothyroxine Sodium Levothyroxine Sodium 202 14,615 $1,764.87 68
Amlodipine Besylate Amlodipine Besylate 196 16,309 $961.55 69
Lisinopril Lisinopril 126 10,838 $699.84 51
Gabapentin Gabapentin 123 6,214 $2,763.19 40
Furosemide Furosemide 111 7,246 $523.32 37
Pantoprazole Sodium Pantoprazole Sodium 96 6,051 $762.51 32
Losartan Potassium Losartan Potassium 94 7,392 $676.98 34
Metformin Hcl Er Metformin Hcl 93 7,046 $1,008.81 32
Alprazolam Alprazolam 86 2,486 $355.75 26
Metoprolol Succinate Metoprolol Succinate 84 6,046 $1,164.93 30
Allopurinol Allopurinol 80 6,514 $525.05 33
Escitalopram Oxalate Escitalopram Oxalate 80 5,961 $712.06 30
Omeprazole Omeprazole 79 5,827 $1,325.41 29
Fluticasone Propionate Fluticasone Propionate 76 4,123 $852.08 46
Pravastatin Sodium Pravastatin Sodium 75 6,332 $860.76 33
Jardiance Empagliflozin 75 4,838 $97,721.62 22
Albuterol Sulfate Hfa Albuterol Sulfate 75 2,207 $1,934.26 35
Tamsulosin Hcl Tamsulosin Hcl 73 5,600 $630.70 36
Zolpidem Tartrate Zolpidem Tartrate 72 2,368 $348.63 22
Tramadol Hcl Tramadol Hcl 71 1,433 $1,053.48 19
Sertraline Hcl Sertraline Hcl 71 5,164 $409.12 30
Simvastatin Simvastatin 68 5,490 $611.26 26
Azelastine Hcl Azelastine Hcl 67 2,590 $1,741.61 41

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CT 5469

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Connecticut Department of Public Health Verification.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20220713000071

Enrollment State Jurisdiction

CT

PECOS Control ID

2567843279

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Prohealth Physicians Pc

950 Yale Ave, Wallingford, CT 064921858

Phone: 2032659600

Prohealth Physicians Pc

115 Spencer St, Winsted, CT 060981140

Phone: 8607385814

Prohealth Physicians Pc

631 Quaker S Ln, West Hartford, CT 061101026

Phone: 8602316130

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
NPI 1063956480

Doctor of Nursing Practice, Advanced Practice Registered Nurse

Dr. Charles Licata , DO

Internal Medicine

NPI 1538172523

Doctor of Osteopathic Medicine (D.O.)

NPI 1124031075

Doctor of Medicine (M.D.)

Marissa Tanasi , APRN

Nurse Practitioner - Family

NPI 1285490789

Advanced Practice Registered Nurse

Dr. Surendran Varma , MD

Internal Medicine - Geriatric Medicine

NPI 1891795316

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated March 24, 2022.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from April 2022 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1659021699
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2022
Last Update: March 24, 2022
Sole Proprietor: Yes

Other Physician Assistants in Bristol

All Physician Assistants in Bristol

Mailing Address

19 Brown St Unit 1

New Haven, CT 065115744

Phone: 3618137539

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.