ANGELO PUCILLO (PA) – Physician Assistant, NPI 1134318090

ANGELO PUCILLO (PA) is a healthcare provider. based in Woburn, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2423 (MA). The NPI Number for ANGELO PUCILLO (PA) is 1134318090

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
ANGELO PUCILLO (PA)
NPI
1134318090
Phone
(781) 937-4522
Address
12 GILL ST
Enumeration Date
17 October 2007
Last Update Date
7 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9782878990
Graduation Year
2007 (19 years ago)
PAC ID
7810077054
Group Practice PAC ID
8123188117
Professional Enrollment ID
I20071231000252
Address ID
MA014601137LI830XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

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Provider Addresses for ANGELO PUCILLO (PA)

  • 12, Gill Street, Mishawum, Woburn, Middlesex County, Massachusetts, 01801, United States

    SUITE 3000

    WOBURN, MA 018011728

    Phone: (781) 937-4522

    Fax: (781) 937-4510

    Type: Mailing

  • Melrose-Wakefield Hospital, 585, Lebanon Street, Wyoming, Melrose, Middlesex County, Massachusetts, 02176, United States

    MELROSE, MA 021763225

    Phone: (781) 979-3300

    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: 2007-12-31

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
I20071231000252IPhysician AssistantMATBD

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 minutes134130$0
99203New patient office or other outpatient visit, 30-44 minutes8787$0
87804Detection test by immunoassay with direct visual observation for influenza virus4140$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus4039$0
81002Urinalysis, manual test2727$0
View full utilization report →

Insurance plans in this area (ZIP 01801)

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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: 8123188117View full group profile
NameSpecialtyState
-MA
-MA
-MA
-MA
Internal MedicineMA
E N D O C R I N O L O G YMA
Physician AssistantMA
-MA
Pulmonary Disease, Critical Care (Intensivists)MA
-MA

Reviews

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Frequently asked questions

Where can patients find ANGELO PUCILLO (PA)'s NPI?
You can confirm ANGELO PUCILLO (PA) with NPI 1134318090; it appears in the national provider directory.
Is ANGELO PUCILLO (PA)'s NPI currently valid?
The extract we use shows ANGELO PUCILLO (PA) as active.
Can you summarize ANGELO PUCILLO (PA)'s specialty in plain language?
Clinically, the directory lists ANGELO PUCILLO (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANGELO PUCILLO (PA)?
The page summarizes Woburn, Massachusetts for ANGELO PUCILLO (PA); expand the address list for detail.
What if Woburn, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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