JOHN R PERSON (MD) – Dermatology Physician, NPI 1205804523
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
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Provider Addresses for JOHN R PERSON (MD)
Auburn Mall, 385, Southbridge Street, Drury Square, Auburn, Worcester County, Massachusetts, 01501, United States
AUBURN, MA 015012498
Phone: (508) 721-1180
Fax: (508) 721-9106
Type: Location
5 NEPONSET ST FL STREET2
WORCESTER, MA 016062714
Phone: (508) 368-5532
Fax: (508) 721-9106
Type: Mailing
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: 2005-07-05
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 |
|---|---|---|---|---|
| I20050705000080 | I | Dermatology | MA | 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 | 292 | 187 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 121 | 37 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 83 | 67 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 80 | 66 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 01501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MA | 17003 | Destruction of 2-14 skin growths | 249 | 57 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MA | |
| Internal Medicine | MA | |
| - | MA | |
| - | MA | |
| Emergency Medicine | MA | |
| Physical Therapist In Private Practice | MA | |
| Physician Assistant | MA | |
| Family Practice | MA | |
| Clinical Psychologist | MA | |
| - | MA |
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