James A. Ouellette, MD
NPI 1457364564ActiveIndividual· Family Medicine· Marlborough, CT
Family Medicine (MD) in Marlborough, Connecticut, trained at University of Connecticut School of Medicine (class of 1992). Their prescriptions cost Medicare Part D more than their services did: $459,377 for 5,659 claims, against $43,006 paid for services in 2024.
Overview
| NPI | 1457364564 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 14, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 033867 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 173 |
|---|---|
| Services billed | 804 across 71 procedure codes |
| Paid by Medicare | $43,006 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,659 · 12,836 30-day fills |
|---|---|
| Patients | 597 |
| Total drug cost | $459,377 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | University of Connecticut School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Family Practice |
Medical group
- Prohealth Physicians PCWinsted, CT · 213 clinicians
Hospital affiliation
- Middlesex HospitalMiddletown, CT
Other facilities
- Hartford Healthcare at HomeHome health agency · East Hartford, CT
- Middlesex Health Care at Home and Hospice ProgramHome health agency · Middletown, CT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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