DR. KEVIN RAYMOND GENDREAU (M.D.) – Obesity Medicine (Family Medicine) Physician, NPI 1023422607
Obesity Medicine (Family Medicine) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,899 FAMILY PRACTICE in MA
Provider Addresses for DR. KEVIN RAYMOND GENDREAU (M.D.)
200 MILL RD
SUITE 180
FAIRHAVEN, MA 027195252
Phone:
Type: Mailing
208 MILL RD
FAIRHAVEN, MA 027195208
Phone: (508) 758-3781
Fax: (508) 758-4455
Type: Location
300 Hanover St Ste 1F
Fall River, MA 027205451
Phone: (508) 973-8612
Fax: (508) 973-8615
Type: Location
110 LIBERTY ST
BROCKTON, MA 023015674
Phone: (508) 894-0400
Fax: (508) 565-0097
Type: Location
110 LIBERTY ST STE 180
BROCKTON, MA 023015674
Phone: (508) 894-0766
Fax: (508) 565-0097
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $75.
Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.
Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Novo Nordisk Inc ($75).
Total Amount
$75
General + Research + Ownership
Payments
1
Total payment records
General Amount
$75
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $75 |
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: 2021-11-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170809000382 | I | Family Practice | MA | TBD |
| I20211122002452 | I | Family Practice | RI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 233 | 71 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 37 | 35 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 02719)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| General Surgery | IL | |
| E N D O C R I N O L O G Y | MI | |
| - | CA | |
| Internal Medicine | MA | |
| - | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | MA | |
| Orthopedic Surgery | MA | |
| - | NY |
Reviews
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