CATHERINE KEOHAN – Physician Assistant, NPI 1063041515

CATHERINE KEOHAN is a healthcare provider. based in Duxbury, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5127 (CT). The NPI Number for CATHERINE KEOHAN is 1063041515

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
CATHERINE KEOHAN
NPI
1063041515
Phone
(781) 710-0056
Address
145 CHESTNUT ST
Enumeration Date
6 April 2020
Last Update Date
5 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
20386754204405
Graduation Year
2020 (6 years ago)
PAC ID
6608283775
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20210408000581
Address ID
CT065114405NE1450XBXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for CATHERINE KEOHAN

  • 145 CHESTNUT ST

    DUXBURY, MA 023324418

    Phone: (781) 710-0056

    Type: Mailing

  • 20 YORK ST

    NEW HAVEN, CT 065103220

    Phone:

    Type: Mailing

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: 2021-04-08

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
I20210408000581IPhysician AssistantCTTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 02332)

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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: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
Internal Medicine, NephrologySC
-CT
-NC
Internal MedicineCT
-CT
Cardiac SurgeryCT
-CT
-CT

Reviews

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Frequently asked questions

How do payers reference CATHERINE KEOHAN?
For CATHERINE KEOHAN, use NPI 1063041515 as the unique 10-digit identifier.
Is there an active status for CATHERINE KEOHAN?
For scheduling context, CATHERINE KEOHAN is shown as active in the registry.
What kind of doctor is CATHERINE KEOHAN?
CATHERINE KEOHAN is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for CATHERINE KEOHAN?
Travel planning: use Duxbury, Massachusetts as the reference point for CATHERINE KEOHAN, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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