SARAH PEREDNA (PA-C, ATC) – Physician Assistant, NPI 1104165679

SARAH PEREDNA (PA-C, ATC) is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, ATC. They hold a License No. 2358 (MA). The NPI Number for SARAH PEREDNA (PA-C, ATC) is 1104165679

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
SARAH PEREDNA (PA-C, ATC)
NPI
1104165679
Phone
(978) 895-0236
Address
125 PARKER HILL AVE
Enumeration Date
4 February 2013
Last Update Date
28 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084222305
Graduation Year
2018 (8 years ago)
PAC ID
4789922402
Group Practice PAC ID
5597679449
Professional Enrollment ID
I20190205001275
Address ID
MA017573003MI14XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for SARAH PEREDNA (PA-C, ATC)

  • 125 PARKER HILL AVE

    BOSTON, MA 021202847

    Phone: (978) 895-0236

    Type: Location

  • 72 HEYWOOD RD

    STERLING, MA 015642041

    Phone:

    Type: Mailing

  • 125 Parker Hill Ave

    Boston, MA 021202847

    Phone: (617) 754-5000

    Type: Location

  • 14 Prospect St

    Milford, MA 017573003

    Phone: (508) 473-1190

    Fax: (508) 473-1210

    Type: Location

  • 9 INDUSTRIAL RD STE 5

    MILFORD, MA 017573736

    Phone: (508) 473-1190

    Type: Location

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: 2019-02-05

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
I20190205001275IPhysician AssistantMATBD

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
27447Replacement of knee joint, both sides of knee3737$0
27130Replacement of thigh bone and hip joint with prosthesis2424$0
View full utilization report →

Insurance plans in this area (ZIP 02120)

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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: 5597679449View full group profile

Reviews

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Frequently asked questions

What is the registry number for SARAH PEREDNA (PA-C, ATC)?
The registry entry for SARAH PEREDNA (PA-C, ATC) shows NPI 1104165679.
Is SARAH PEREDNA (PA-C, ATC) currently accepting referrals based on NPI status?
Registry metadata lists SARAH PEREDNA (PA-C, ATC) as active.
What services align with SARAH PEREDNA (PA-C, ATC)'s listing?
SARAH PEREDNA (PA-C, ATC)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SARAH PEREDNA (PA-C, ATC)?
SARAH PEREDNA (PA-C, ATC) is associated with Boston, Massachusetts in the same public data insurers reference.
Can I export SARAH PEREDNA (PA-C, ATC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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