KERRY EATON – Physician Assistant, NPI 1164180659

KERRY EATON is a healthcare provider. based in Brighton, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA8930 (MA). The NPI Number for KERRY EATON is 1164180659

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KERRY EATON
NPI
1164180659
Phone
(617) 783-0500
Address
495 Western Ave
Enumeration Date
2 December 2021
Last Update Date
10 April 2026

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6177830500
Graduation Year
2022 (4 years ago)
PAC ID
9032587985
Group Practice PAC ID
5294709812
Professional Enrollment ID
I20221125000266
Address ID
MA021351007BR495XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for KERRY EATON

  • 495 Western Ave

    Brighton, MA 021351007

    Phone: (617) 783-0500

    Fax: (617) 562-1398

    Type: Location

  • 37 SNOW ST APT 2

    BRIGHTON, MA 021353412

    Phone: (603) 812-1854

    Type: Mailing

  • 66 CONCORD ST

    WILMINGTON, MA 018872179

    Phone: (978) 694-9610

    Fax: (978) 694-9533

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Exact Sciences Corporation ($48).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

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: 2022-11-25

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
I20221125000266IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02135)

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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: 5294709812View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
Nurse PractitionerMA
Nurse PractitionerMA
-MA
-MA
Physician AssistantMA
Nurse PractitionerMA
Hospitalist, Internal MedicineMA
Internal MedicineMA

Reviews

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Frequently asked questions

What NPI should I save for KERRY EATON?
Save NPI 1164180659 if you need a stable reference for KERRY EATON.
Does this profile mean KERRY EATON is currently active?
Yes — KERRY EATON appears active in the national provider directory.
Does KERRY EATON list a primary specialty?
If you are matching referrals, note Physician Assistant for KERRY EATON. Clinical services aligned with this taxonomy classification.
Where is KERRY EATON's primary listing?
We display Brighton, Massachusetts because that is what the record indicates for KERRY EATON.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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