ROBERTO E PEREZ-GAUTRIN (MD) – Diagnostic Radiology Physician, NPI 1114147535
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,897 DIAGNOSTIC RADIOLOGY in MA
Provider Addresses for ROBERTO E PEREZ-GAUTRIN (MD)
345 CAMP ST
UNIT 104
W YARMOUTH, MA 026732476
Phone: (505) 920-4185
Type: Mailing
75 FRANCIS ST
BOSTON, MA 021156110
Phone: (617) 732-8098
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2013-08-29
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 |
|---|---|---|---|---|
| I20120905000344 | I | Diagnostic Radiology | NC | TBD |
| I20130829000798 | I | Diagnostic Radiology | NM | 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 |
|---|---|---|---|---|
| 74177 | Ct scan of abdomen and pelvis with contrast | 487 | 467 | $0 |
| 70450 | Ct scan head or brain without contrast | 289 | 285 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 271 | 264 | $0 |
| 71045 | X-ray of chest, 1 view | 268 | 261 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 166 | 163 | $0 |
Insurance plans in this area (ZIP 02673)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CT | |
| Diagnostic Radiology, Interventional Radiology | NM | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | NM | |
| Diagnostic Radiology, Interventional Radiology | NM | |
| Diagnostic Radiology | NM | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | TX | |
| - | ID |
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