MR. NICHOLAS PHILIP MEDEIROS (PA-C) – Physician Assistant, NPI 1124646286
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
Provider Addresses for MR. NICHOLAS PHILIP MEDEIROS (PA-C)
17 CONCORD RD
STONEHAM, MA 021802155
Phone:
Type: Mailing
17 Concord Rd
Stoneham, MA 021802155
Phone: (617) 967-8373
Type: Location
110 W SQUANTUM ST
QUINCY, MA 021712122
Phone: (617) 376-3000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $173.
Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Gilead Sciences, Inc. ($119).
Total Amount
$173
General + Research + Ownership
Payments
5
Total payment records
General Amount
$173
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $119 |
| Exact Sciences Corporation | $19 |
| PFIZER INC. | $18 |
| Braeburn Inc. | $17 |
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: 2020-10-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201006000767 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 96127 | Assessment of emotional or behavioral problems | 39 | 29 | $0 |
| 83036 | Hemoglobin a1c level | 34 | 15 | $0 |
Insurance plans in this area (ZIP 02180)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MA | |
| Nurse Practitioner | MA | |
| Physician Assistant | MA | |
| - | MA | |
| Clinical Social Worker | MA | |
| O P T O M E T R Y | MA | |
| Nurse Practitioner | MA | |
| Physician Assistant | MA | |
| Nurse Practitioner | MA | |
| Infectious Disease, Internal Medicine | MA |
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.