DR. ANDREW PELLETIER (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1134626252

DR. ANDREW PELLETIER (DPM) is a healthcare provider. based in Lynn, Massachusetts. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. N0071501 (NY). The NPI Number for DR. ANDREW PELLETIER (DPM) is 1134626252

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW PELLETIER (DPM)
NPI
1134626252
Phone
(815) 960-7037
Address
98 NAHANT ST
Enumeration Date
6 April 2018
Last Update Date
7 February 2023

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
7815960703110
Graduation Year
2018 (8 years ago)
PAC ID
1759628951
Group Practice PAC ID
5092701102
Professional Enrollment ID
I20220906003146
Address ID
MA019023315LY98XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

1,974 PODIATRY in NY

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Provider Addresses for DR. ANDREW PELLETIER (DPM)

  • 98 NAHANT ST

    LYNN, MA 019023315

    Phone: (815) 960-7037

    Type: Mailing

  • Brooklyn Hospital Center, 121, DeKalb Avenue, Fort Greene, Brooklyn, Kings County, New York, 11201, United States

    BROOKLYN, NY 112015493

    Phone: (978) 697-6853

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $828.

Total Amount is formed as General ($828) + Research ($0) + Ownership ($0) = $828.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Averitas Pharma Inc. ($209).

Total Amount

$828

General + Research + Ownership

Payments

21

Total payment records

General Amount

$828

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-09-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220906003146IPodiatryMATBD

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 minutes857366$0
11721Removal of fingernails or toenails, 6 or more nails12591$0
11057Removal of noncancer thickened skin growth, more than 4 growths9959$0
11720Removal of fingernails or toenails, 1-5 nails8770$0
G0127Trimming of dystrophic nails, any number8669$0
View full utilization report →

Insurance plans in this area (ZIP 01902)

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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: 5092701102View full group profile
NameSpecialtyState
P O D I A T R YMA
-MA

Reviews

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Frequently asked questions

How is DR. ANDREW PELLETIER (DPM) identified in CMS data?
CMS-hosted NPPES data lists DR. ANDREW PELLETIER (DPM) with NPI 1134626252.
Does the file indicate DR. ANDREW PELLETIER (DPM) is practicing under active NPI?
Directory data currently reports DR. ANDREW PELLETIER (DPM) as active.
What is DR. ANDREW PELLETIER (DPM)'s specialty?
The listing groups DR. ANDREW PELLETIER (DPM) with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where is DR. ANDREW PELLETIER (DPM) based?
DR. ANDREW PELLETIER (DPM) is tied to Lynn, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about DR. ANDREW PELLETIER (DPM) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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