DANIEL DEVEREAUX (MD) – Surgery Physician, NPI 1700896867

DANIEL DEVEREAUX (MD) is a healthcare provider. based in Brewer, Maine. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. 015252 (ME). The NPI Number for DANIEL DEVEREAUX (MD) is 1700896867

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL DEVEREAUX (MD)
NPI
1700896867
Phone
(207) 973-5035
Address
43 WHITING HILL RD
Enumeration Date
9 August 2006
Last Update Date
27 March 2008

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
2079737000
Graduation Year
1986 (40 years ago)
PAC ID
1759313588
Group Practice PAC ID
2062315161
Professional Enrollment ID
I20050901000194
Address ID
ME044016616BA489XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

219 GENERAL SURGERY in ME

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Provider Addresses for DANIEL DEVEREAUX (MD)

  • Northern Light Health Home Office, 43, Whiting Hill Road, Brewer, Penobscot County, Maine, 04412, United States

    SUITE 300

    BREWER, ME 044121005

    Phone: (207) 973-5035

    Fax: (207) 973-5042

    Type: Mailing

  • Eastern Maine Medical Center, 489, State Street, Bangor, Penobscot County, Maine, 04401, United States

    BANGOR, ME 044016616

    Phone: (207) 973-7000

    Fax: (207) 973-5042

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050901000194IGeneral SurgeryMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
45380Biopsy of large bowel using a flexible endoscope6159$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope4441$0
45378Diagnostic exam of large bowel using a flexible endoscope4040$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare3838$0
99213Established patient office or other outpatient visit, 20-29 minutes1814$0
View full utilization report →

Insurance plans in this area (ZIP 04412)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062315161View full group profile
NameSpecialtyState
Physician AssistantME
Nurse PractitionerME
Certified Registered Nurse Anesthetist (Crna)ME
Cardiovascular Disease (Cardiology)ME
Endocrinology, Internal MedicineME
-ME
Nurse PractitionerME
Thoracic SurgeryME
H O S P I T A L I S TME
-NJ

Reviews

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Frequently asked questions

How is DANIEL DEVEREAUX (MD) identified in CMS data?
CMS-hosted NPPES data lists DANIEL DEVEREAUX (MD) with NPI 1700896867.
Can I rely on DANIEL DEVEREAUX (MD) being an active provider?
As of the registry snapshot, DANIEL DEVEREAUX (MD) is marked active.
What taxonomy line describes DANIEL DEVEREAUX (MD)?
For research purposes, treat DANIEL DEVEREAUX (MD) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DANIEL DEVEREAUX (MD)?
DANIEL DEVEREAUX (MD)'s geographic hint is Brewer, Maine in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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