GENTRY W THATCHER (MD) – Otolaryngology Physician, NPI 1124020730

GENTRY W THATCHER (MD) is a healthcare provider. based in N andover, Massachusetts. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 204712 (MA). The NPI Number for GENTRY W THATCHER (MD) is 1124020730

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
GENTRY W THATCHER (MD)
NPI
1124020730
Phone
(978) 685-7550
Address
198 MASSACHUSETTS AVE #103
Enumeration Date
12 August 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9786857550
Graduation Year
1995 (31 years ago)
PAC ID
3072677251
Group Practice PAC ID
8921192691
Professional Enrollment ID
I20110106000139
Address ID
MA018454143NO198XXAVEX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

392 OTOLARYNGOLOGY in MA

Loading map...

Provider Addresses for GENTRY W THATCHER (MD)

  • North Andover, Essex County, Massachusetts, 01845, United States

    N ANDOVER, MA 01845

    Phone: (978) 685-7550

    Fax: (978) 686-5565

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2014-03-14

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
I20110106000139IOtolaryngologyMATBD
I20140314001064IOtolaryngologyNHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes505397$0
97530Therapy procedure using functional activities358112$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes31192$0
95024Test for allergy using allergenic extract injected into skin19811$0
92567Test to assess middle ear function192185$0
View full utilization report →

Insurance plans in this area (ZIP 01845)

Loading plans...

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: 8921192691View full group profile
NameSpecialtyState
-MA
O T O L A R Y N G O L O G YMA
Physical Medicine And RehabilitationMA
O T O L A R Y N G O L O G YMA
Qualified AudiologistMA
Otolaryngology, Maxillofacial Surgery, Plastic And Reconstructive SurgeryNH
O T O L A R Y N G O L O G YMA
Physician AssistantNY
Physical Therapist In Private PracticeMA
O T O L A R Y N G O L O G YMA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference GENTRY W THATCHER (MD)?
For GENTRY W THATCHER (MD), use NPI 1124020730 as the unique 10-digit identifier.
Active or inactive — what applies to GENTRY W THATCHER (MD)?
You should see GENTRY W THATCHER (MD) as active in CMS-hosted NPPES data.
What kind of doctor is GENTRY W THATCHER (MD)?
GENTRY W THATCHER (MD) is associated with Otolaryngology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Massachusetts is GENTRY W THATCHER (MD) registered?
Use N Andover, Massachusetts as the headline location for GENTRY W THATCHER (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.