STEPHEN PIDGEON (MD) – Podiatrist, NPI 1114902475

STEPHEN PIDGEON (MD) is a healthcare provider. based in Raynham, Massachusetts. specializing in Podiatrist. They hold the professional credentials MD. They hold a License No. 1867 (MA). The NPI Number for STEPHEN PIDGEON (MD) is 1114902475

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN PIDGEON (MD)
NPI
1114902475
Phone
(508) 894-0400
Address
1215 BROADWAY
Enumeration Date
9 December 2005
Last Update Date
25 May 2016

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
5088940400
Graduation Year
1987 (39 years ago)
PAC ID
1951310192
Group Practice PAC ID
7719876267
Professional Enrollment ID
I20060417000134
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for STEPHEN PIDGEON (MD)

  • 1215, Broadway, Raynham, Bristol County, Massachusetts, United States

    RAYNHAM, MA 027671942

    Phone: (508) 894-0400

    Fax: (508) 559-7035

    Type: Mailing

  • 1215 BROADWAY

    TWP, SUITE 140

    RATNHAM, MA 02767

    Phone: (508) 894-8730

    Fax: (508) 894-8732

    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: 2006-04-17

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
I20060417000134IPodiatryMATBD

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
11721Removal of fingernails or toenails, 6 or more nails570268$0
99203New patient office or other outpatient visit, 30-44 minutes143143$0
99213Established patient office or other outpatient visit, 20-29 minutes10791$0
11056Removal of noncancer thickened skin growth, 2-4 growths10053$0
99212Established patient office or other outpatient visit, 10-19 minutes6663$0
View full utilization report →

Insurance plans in this area (ZIP 02767)

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Provider's Procedures

STEPHEN PIDGEON (MD) performs procedures in Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYMA11056Removal of 2 to 4 thickened skin growths258111

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: 7719876267View full group profile
NameSpecialtyState
-MA
Family PracticeMA
General SurgeryIL
E N D O C R I N O L O G YMI
D E R M A T O L O G YFL
-CA
Internal MedicineMA
-NY
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA

Reviews

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Frequently asked questions

Can I verify STEPHEN PIDGEON (MD) with an NPI only?
You can start verification with NPI 1114902475 for STEPHEN PIDGEON (MD), then check state licensing separately.
Is STEPHEN PIDGEON (MD) still practicing?
STEPHEN PIDGEON (MD) is currently listed as active in the public NPI registry.
What healthcare role does STEPHEN PIDGEON (MD) hold?
Scheduling teams often label STEPHEN PIDGEON (MD) under Podiatrist. Clinical services aligned with this taxonomy classification.
Where should I expect STEPHEN PIDGEON (MD) on a map?
Expect Raynham, Massachusetts as a primary anchor for STEPHEN PIDGEON (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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