Doctor profile · Federal record
Dr. Manhouly Phouthachack
Family Nurse Practitioner (CMS: Nurse Practitioner) · Bristol, CT
- NPI 1295965481
- Accepts Medicare
- MIPS 87.1 / 100 · 2023
- 19 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
839 Farmington Ave
Bristol, CT 060103922
(866) 389-2727 - Additional location
-
920 2Nd Ave S, Suite 400
Minneapolis, MN 554023318
(612) 225-1534 - Mailing address
-
162 Washington Ave
North Haven, CT 064731711
Credentials & registration
- NPI registered
- July 2009 — 17 yrs on file
- Profile last updated
- May 16, 2025
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Connecticut #004098
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295965481. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
113
Distinct HCPCS
5
Medicare allowed
$7,034
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
87426 |
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 30 | 27 | $35 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $102 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 23 | 22 | $79 | |
G0008 |
Administration of influenza virus vaccine | 19 | 19 | $33 | |
90694 |
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 18 | 18 | $68 |
In context: peer comparison
Among 7 peers in this city , average services per provider: 48. This provider delivers 2.4× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
28
Patients
16
Total drug cost
$150
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 17 | 16 | $32 |
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 11 | 0 | $117 |
Frequently asked questions
What is Dr. Manhouly Phouthachack's medical specialty?
Dr. Manhouly Phouthachack practices Family Nurse Practitioner in Bristol, CT.
Where does Dr. Manhouly Phouthachack practice?
Dr. Manhouly Phouthachack practices at 839 Farmington Ave, Bristol, CT 060103922. Office phone: 8663892727.
What is Dr. Manhouly Phouthachack's NPI?
Dr. Manhouly Phouthachack's National Provider Identifier (NPI) is 1295965481, issued by NPPES.
Does Dr. Manhouly Phouthachack accept Medicare assignment?
Yes. Dr. Manhouly Phouthachack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Manhouly Phouthachack commonly perform?
Top Medicare-reported procedures in 2023: Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS 87426); New patient office or other outpatient visit (HCPCS 99203); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.