NONNA KHACHIYAN (PA-C) – Physician Assistant, NPI 1073677498
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
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Provider Addresses for NONNA KHACHIYAN (PA-C)
9;11, Mason Road, Watertown, Middlesex County, Massachusetts, 02178, United States
WATERTOWN, MA 024723314
Phone: (617) 939-3930
Type: Mailing
91 WASHINGTON ST UNIT 302
TAUNTON, MA 027807404
Phone: (855) 734-3678
Type: Mailing
91 WASHINGTON ST
TAUNTON, MA 027807404
Phone: (855) 734-3678
Type: Location
1030 PRESIDENT AVE STE 306
FALL RIVER, MA 027205923
Phone: (401) 751-7546
Fax: (401) 751-6888
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 650 Open Payments records for all available years, with a total value of $20,103.
Total Amount is formed as General ($20,103) + Research ($0) + Ownership ($0) = $20,103.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($3,657).
Total Amount
$20,103
General + Research + Ownership
Payments
650
Total payment records
General Amount
$20,103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $3,657 |
| Janssen Biotech, Inc. | $2,189 |
| Incyte Corporation | $1,857 |
| Amgen Inc. | $1,687 |
| E.R. Squibb & Sons, L.L.C. | $963 |
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: 2007-02-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070206000085 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 480 | 80 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 217 | 158 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 179 | 149 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 160 | 129 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 126 | 126 | $0 |
Insurance plans in this area (ZIP 02472)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Emergency Medicine | MA | |
| Internal Medicine | MA | |
| Physician Assistant | RI | |
| - | MA | |
| Nurse Practitioner | MA |
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