DR. DEBORAH JEAN WALD (MD) – Pediatrics Physician, NPI 1124019039

DR. DEBORAH JEAN WALD (MD) is a healthcare provider. based in Charlestown, Massachusetts. specializing in PEDIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 79608 (MA). The NPI Number for DR. DEBORAH JEAN WALD (MD) is 1124019039

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEBORAH JEAN WALD (MD)
NPI
1124019039
Phone
(617) 724-0287
Address
PO BOX 9142
Enumeration Date
31 October 2005
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
7814851000
Graduation Year
1990 (36 years ago)
PAC ID
3971588930
Group Practice PAC ID
6507803806
Professional Enrollment ID
I20040623000315
Address ID
MA021513033RE385XXBROA200
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,245 PEDIATRIC MEDICINE in MA

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Provider Addresses for DR. DEBORAH JEAN WALD (MD)

  • 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

  • Revere Beach, 300, Ocean Avenue, Crescent Beach, Revere, Suffolk County, Massachusetts, 02151, United States

    RHC REVERE HEALTHCARE CENTER

    REVERE, MA 021513675

    Phone: (617) 485-6350

    Fax: (617) 485-6391

    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: 2004-06-23

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
I20040623000315IInternal MedicineMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes17583$0
99213Established patient office or other outpatient visit, 20-29 minutes3737$0
View full utilization report →

Insurance plans in this area (ZIP 02129)

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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: 6507803806View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Internal MedicineMA
-MA
-MA
Anesthesiology, Pain ManagementMA
-MA
Clinical PsychologistMA
Internal MedicineMA
Internal MedicineMA
-MA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. DEBORAH JEAN WALD (MD)'s NPI?
Yes. DR. DEBORAH JEAN WALD (MD) is listed with NPI 1124019039 in the public NPI dataset.
Is DR. DEBORAH JEAN WALD (MD) still practicing?
DR. DEBORAH JEAN WALD (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. DEBORAH JEAN WALD (MD)?
For research purposes, treat DR. DEBORAH JEAN WALD (MD) as Pediatrics Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. DEBORAH JEAN WALD (MD) serve?
DR. DEBORAH JEAN WALD (MD)'s listing highlights Charlestown, Massachusetts; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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