COREY DAVID WILLIAMS – Physician Assistant, NPI 1205352259

COREY DAVID WILLIAMS is a healthcare provider. based in Salem, Massachusetts. specializing in PHYSICIAN ASSISTANT. The NPI Number for COREY DAVID WILLIAMS is 1205352259

Main info

Male
Sole Proprietor
9 Years Of Experience
Name
COREY DAVID WILLIAMS
NPI
1205352259
Phone
(617) 366-9374
Address
21 GRANT RD
Enumeration Date
21 August 2017
Last Update Date
21 August 2017

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
6176365000
Graduation Year
2017 (9 years ago)
PAC ID
4789941162
Group Practice PAC ID
7618295437
Professional Enrollment ID
I20180221001702
Address ID
MA021111552BO800XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

1,290 PHYSICIAN ASSISTANT in NH

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Provider Addresses for COREY DAVID WILLIAMS

  • 21, Grant Road, Salem, Essex County, Massachusetts, 01907-1392, United States

    SALEM, MA 01970

    Phone: (617) 366-9374

    Type: Mailing

  • Coco, Early & Associates, 125, Indian Rock Road, Windham, Rockingham County, New Hampshire, 03087, United States

    WINDHAM, NH 030872008

    Phone: (603) 890-6330

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $159.

Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Stryker Corporation ($159).

Total Amount

$159

General + Research + Ownership

Payments

1

Total payment records

General Amount

$159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$159
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: 2018-02-21

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
I20180221001702IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3130$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 01970)

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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: 7618295437View full group profile
NameSpecialtyState
Hand SurgeryMA
Physician AssistantMA
P O D I A T R YMA
Orthopedic SurgeryTX
Physician AssistantNY
Physician AssistantMA
Orthopedic SurgeryPA
Orthopedic SurgeryMA
-MA
Orthopedic Surgery, Sports MedicineFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for COREY DAVID WILLIAMS?
COREY DAVID WILLIAMS — NPI 1205352259 — is the standard way to identify this listing.
Does the file indicate COREY DAVID WILLIAMS is practicing under active NPI?
Directory data currently reports COREY DAVID WILLIAMS as active.
What is COREY DAVID WILLIAMS's specialty?
The listing groups COREY DAVID WILLIAMS with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does COREY DAVID WILLIAMS serve?
COREY DAVID WILLIAMS's listing highlights Salem, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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