EMILY ANNE PHANEUF (PA-C) – Physician Assistant, NPI 1053090415
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
Provider Addresses for EMILY ANNE PHANEUF (PA-C)
5 NEWPORT RD APT 3
CAMBRIDGE, MA 021401589
Phone: (781) 820-5181
Type: Location
75 FRANCIS ST
BOSTON, MA 021156110
Phone: (617) 732-5500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $397.
Total Amount is formed as General ($397) + Research ($0) + Ownership ($0) = $397.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: MIMEDX Group, Inc. ($180).
Total Amount
$397
General + Research + Ownership
Payments
7
Total payment records
General Amount
$397
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $180 |
| Molnlycke Health Care US, LLC | $164 |
| Solventum Corporation | $30 |
| LifeNet Health | $23 |
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: 2024-11-11
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 |
|---|---|---|---|---|
| I20231011002710 | I | Physician Assistant | MA | TBD |
| I20241111002512 | I | Physician Assistant | NH | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 767 | 198 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 259 | 75 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 145 | 99 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 121 | 14 | $0 |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 97 | 97 | $0 |
Insurance plans in this area (ZIP 02140)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Physician Assistant | RI | |
| - | NY | |
| General Surgery, Family Practice | MA |
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