Justin Gauthier, M.D.
NPI 1417362955ActiveIndividual· Surgery· New London, CT
Surgery (M.D.) with Northeast Medical Group Inc, practicing in New London, Connecticut. 190 Medicare patients in 2024, $90,719 paid; nearly all of their 104 Part D prescriptions were generic (99%). Lists Lawrence & Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1417362955 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 23, 2014 |
| Last updated in NPPES | Sep 23, 2020 |
| Certified by provider | Sep 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 66421 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (CT); Practitioner - General Surgery (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 190 |
|---|---|
| Services billed | 490 across 87 procedure codes |
| Paid by Medicare | $90,719 |
Part D prescriptions in 2024
| Prescriptions (claims) | 104 · 134 30-day fills |
|---|---|
| Patients | 58 |
| Total drug cost | $983.21 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | General Surgery |
Medical group
- Northeast Medical Group IncBridgeport, CT · 1,360 clinicians
Hospital affiliations
- Lawrence & Memorial HospitalNew London, CT
- Westerly HospitalWesterly, RI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in New London
- 1861613010
- 1952495087
- 1972966299
- 1033104245
- 1366536526
- 1275997538
- 1598859746