STEPHANIE L. BISSONNETTE (D.O.) – Neurology Physician, NPI 1164867792
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,144 NEUROLOGY in MA
Provider Addresses for STEPHANIE L. BISSONNETTE (D.O.)
720 HARRISON AVENUE
DOB 503
BOSTON, MA 021182371
Phone:
Type: Mailing
725 ALBANY STREET
SHAPIRO 7, SUITE B
BOSTON, MA 02118
Phone: (617) 638-8456
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,615.
Total Amount is formed as General ($1,615) + Research ($0) + Ownership ($0) = $1,615.
Last reported payment date: 2023-08-18 • Largest payer in this snapshot: Sage Therapeutics, Inc. ($1,615).
Total Amount
$1,615
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,615
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sage Therapeutics, Inc. | $1,615 |
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: 2023-02-06
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 |
|---|---|---|---|---|
| I20230206002602 | I | Neurology | VA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 83 | 74 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 53 | 53 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 47 | 44 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 43 | 43 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 23 | 11 | $0 |
Insurance plans in this area (ZIP 02118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management, Physical Medicine And Rehabilitation | VA | |
| Orthopedic Surgery | VA | |
| Physician Assistant | VA | |
| Orthopedic Surgery | VA | |
| Nurse Practitioner | VA | |
| Orthopedic Surgery | VA | |
| Hand Surgery | VA | |
| Orthopedic Surgery | FL | |
| Family Practice | VA | |
| Family Practice, Sports Medicine | VA |
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