DR. JACK MCCALLION (MD) – Anesthesiology Physician, NPI 1083695274

DR. JACK MCCALLION (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 59984 (MA). The NPI Number for DR. JACK MCCALLION (MD) is 1083695274

Main info

Male
39 Years Of Experience
Name
DR. JACK MCCALLION (MD)
NPI
1083695274
Phone
(617) 726-3030
Address
15 PARKMAN STREET CLN 309
Enumeration Date
7 November 2005
Last Update Date
9 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
4482278478
Graduation Year
1987 (39 years ago)
PAC ID
5496849739
Group Practice PAC ID
6901099688
Professional Enrollment ID
I20230622003303
Address ID
FL325032254PE123XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,323 ANESTHESIOLOGY in MA

Provider Addresses for DR. JACK MCCALLION (MD)

  • 15 PARKMAN STREET CLN 309

    ANESTHESIA ASSOCIATES MGH

    BOSTON, MA 021143117

    Phone: (617) 726-3030

    Type: Location

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    MASS GENERAL PHYSICIAN ORGANIZATION

    CHARLESTOWN, MA 021299142

    Phone: (617) 724-0287

    Fax: (617) 726-2894

    Type: Mailing

  • 2014 WASHINGTON ST

    NEWTON, MA 024621607

    Phone: (617) 243-6298

    Fax: (617) 243-6184

    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: 2025-12-04

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230622003303IAnesthesiologyFLTBD
I20251204002545IAnesthesiologyTXTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4845$0
00811Anesthesia for other procedure on large bowel using an endoscope4141$0
00813Anesthesia for procedure on small and large bowel using an endoscope4040$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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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: 6901099688View full group profile
NameSpecialtyState
-FL
-AL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
-AL
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YCO
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What NPI should I save for DR. JACK MCCALLION (MD)?
Save NPI 1083695274 if you need a stable reference for DR. JACK MCCALLION (MD).
Is DR. JACK MCCALLION (MD)'s NPI currently valid?
The extract we use shows DR. JACK MCCALLION (MD) as active.
Does DR. JACK MCCALLION (MD) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for DR. JACK MCCALLION (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JACK MCCALLION (MD)?
The page summarizes Boston, Massachusetts for DR. JACK MCCALLION (MD); expand the address list for detail.
Is DR. JACK MCCALLION (MD) a real provider?
This page reflects official NPPES data for NPI 1083695274. Always confirm identity and privileges with the practice and licensing boards.

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