KONSTANTINO A AVRADOPOULOS (MD) – Surgery Physician, NPI 1154390995

KONSTANTINO A AVRADOPOULOS (MD) is a healthcare provider. based in Southbridge, Massachusetts. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 204941 (MA). The NPI Number for KONSTANTINO A AVRADOPOULOS (MD) is 1154390995

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
KONSTANTINO A AVRADOPOULOS (MD)
NPI
1154390995
Phone
(508) 764-6966
Address
94 SOUTH ST
Enumeration Date
15 March 2006
Last Update Date
11 April 2012

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9786306460
Graduation Year
1988 (38 years ago)
PAC ID
5294864476
Group Practice PAC ID
6901882836
Professional Enrollment ID
I20100526000618
Address ID
MA014401396GA250XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,028 GENERAL SURGERY in MA

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Provider Addresses for KONSTANTINO A AVRADOPOULOS (MD)

  • 94, South Street, High School Street Historic District, Globe Village, Southbridge, Worcester County, Massachusetts, 01550, United States

    SOUTHBRIDGE, MA 015504000

    Phone: (508) 764-6966

    Fax: (508) 764-2457

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: Integra LifeSciences Corporation ($90).

Total Amount

$123

General + Research + Ownership

Payments

3

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

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: 2010-05-26

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
I20100526000618IGeneral SurgeryMATBD

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 minutes407119$0
11042Removal of skin and tissue, 20.0 sq cm or less28397$0
97597Removal of tissue from wound, 20.0 sq cm or less13968$0
99214Established patient office or other outpatient visit, 30-39 minutes9691$0
97598Removal of tissue from wound, each additional 20.0 sq cm9313$0
View full utilization report →

Insurance plans in this area (ZIP 01550)

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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: 6901882836View full group profile
NameSpecialtyState
Nurse PractitionerMA
Physician AssistantMA
Nurse PractitionerNH
Internal Medicine, Sports MedicineMA
G A S T R O E N T E R O L O G YMA
Family Practice, Obstetrics/GynecologyMA
O B S T E T R I C S/ G Y N E C O L O G YMA
Physician AssistantMA
Physician AssistantMA
-MA

Reviews

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Frequently asked questions

How is KONSTANTINO A AVRADOPOULOS (MD) identified in CMS data?
CMS-hosted NPPES data lists KONSTANTINO A AVRADOPOULOS (MD) with NPI 1154390995.
Does the file indicate KONSTANTINO A AVRADOPOULOS (MD) is practicing under active NPI?
Directory data currently reports KONSTANTINO A AVRADOPOULOS (MD) as active.
What is KONSTANTINO A AVRADOPOULOS (MD)'s primary classification?
Surgery Physician is the headline specialty for KONSTANTINO A AVRADOPOULOS (MD) here. Clinical services aligned with this taxonomy classification.
Where is KONSTANTINO A AVRADOPOULOS (MD) based?
KONSTANTINO A AVRADOPOULOS (MD) is tied to Southbridge, Massachusetts in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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