MR. CHAD ROGGERO – Physician Assistant, NPI 1114499357

MR. CHAD ROGGERO is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA6956 (MA). The NPI Number for MR. CHAD ROGGERO is 1114499357

Main info

Male
7 Years Of Experience
Name
MR. CHAD ROGGERO
NPI
1114499357
Phone
(617) 636-0405
Address
136 HARRISON AVE # M&V207
Enumeration Date
28 December 2018
Last Update Date
20 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8605254469
Graduation Year
2019 (7 years ago)
PAC ID
7012248412
Group Practice PAC ID
1355394115
Professional Enrollment ID
I20251231000831
Address ID
CT060673455RO1111XAVEX306
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for MR. CHAD ROGGERO

  • 136 HARRISON AVE # M&V207

    BOSTON, MA 021111817

    Phone: (617) 636-0405

    Type: Location

  • 390, Fellsway West, Glenwood, Medford, Middlesex County, Massachusetts, 02155, United States

    MEDFORD, MA 021552642

    Phone: (860) 949-2159

    Type: Mailing

  • 77 HERRICK ST STE 201

    BEVERLY, MA 019152796

    Phone: (978) 927-3040

    Fax: (978) 927-0443

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $246.

Total Amount is formed as General ($246) + Research ($0) + Ownership ($0) = $246.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Stryker Corporation ($246).

Total Amount

$246

General + Research + Ownership

Payments

3

Total payment records

General Amount

$246

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$246
View all Open Payments →|Open Payments Risk Radar →

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: 2025-12-31

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
I20191016002749IPhysician AssistantMATBD
I20251231000831IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02111)

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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: 1355394115View full group profile
NameSpecialtyState
Orthopedic SurgeryCT
P O D I A T R YNJ
Sports Medicine, Orthopedic SurgeryCT
Physician AssistantNC
Physician AssistantCT
Physician AssistantCT
Physician AssistantCT
Physician AssistantCT
Orthopedic SurgeryCT
Physician AssistantCT

Reviews

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Frequently asked questions

Can I verify MR. CHAD ROGGERO with an NPI only?
You can start verification with NPI 1114499357 for MR. CHAD ROGGERO, then check state licensing separately.
Can I rely on MR. CHAD ROGGERO being an active provider?
As of the registry snapshot, MR. CHAD ROGGERO is marked active.
What is MR. CHAD ROGGERO's specialty?
The listing groups MR. CHAD ROGGERO with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MR. CHAD ROGGERO?
MR. CHAD ROGGERO's geographic hint is Boston, Massachusetts in our summary view.
Why does MR. CHAD ROGGERO have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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