MAX MACKENZIE QUINN (MD) – Internal Medicine Physician, NPI 1184200172

MAX MACKENZIE QUINN (MD) is a healthcare provider. based in North adams, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 1018061 (MA). The NPI Number for MAX MACKENZIE QUINN (MD) is 1184200172

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MAX MACKENZIE QUINN (MD)
NPI
1184200172
Phone
(413) 441-5253
Address
94 CHARLENE ST
Enumeration Date
22 March 2021
Last Update Date
18 April 2024

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6177240287
Graduation Year
2021 (5 years ago)
PAC ID
6305245259
Group Practice PAC ID
2466365820
Professional Enrollment ID
I20240521002408
Address ID
MA021142696BO55XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

Provider Addresses for MAX MACKENZIE QUINN (MD)

  • 94 CHARLENE ST

    NORTH ADAMS, MA 012472800

    Phone: (413) 441-5253

    Type: Mailing

  • 55 FRUIT ST

    BOSTON, MA 021142696

    Phone: (617) 726-2000

    Type: Location

  • 15 PARKMAN ST

    BOSTON, MA 021143117

    Phone: (617) 726-2000

    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: 2024-05-21

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
I20240521002408IInternal MedicineMATBD

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 01247)

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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: 2466365820View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Diagnostic RadiologyMA
Nephrology, Internal MedicineMA
Nurse PractitionerMA
P A T H O L O G YNY
P A T H O L O G YMA
P S Y C H I A T R YMA
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)MA
H E M A T O L O G Y/ O N C O L O G YMA
N E U R O L O G YMA

Reviews

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Frequently asked questions

How do payers reference MAX MACKENZIE QUINN (MD)?
For MAX MACKENZIE QUINN (MD), use NPI 1184200172 as the unique 10-digit identifier.
Would MAX MACKENZIE QUINN (MD) appear as active to a payer?
You can treat MAX MACKENZIE QUINN (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MAX MACKENZIE QUINN (MD)?
At a glance, MAX MACKENZIE QUINN (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is MAX MACKENZIE QUINN (MD) registered?
Use North Adams, Massachusetts as the headline location for MAX MACKENZIE QUINN (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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