ANDREY GAGARIN (M.D.) – Psychiatry Physician, NPI 1225074123

ANDREY GAGARIN (M.D.) is a healthcare provider. based in Brockton, Massachusetts. specializing in PSYCHIATRY, GERIATRIC PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 154838 (MA). The NPI Number for ANDREY GAGARIN (M.D.) is 1225074123

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
ANDREY GAGARIN (M.D.)
NPI
1225074123
Phone
(508) 941-7228
Address
680 CENTRE ST
Enumeration Date
21 June 2006
Last Update Date
7 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086607949
Graduation Year
1974 (52 years ago)
PAC ID
6002077872
Group Practice PAC ID
0244218360
Professional Enrollment ID
I20120423000451
Address ID
MA020812553WA1600XHWYX304
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,743 PSYCHIATRY in MA

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Provider Addresses for ANDREY GAGARIN (M.D.)

  • Signature Healthcare Brockton Hospital, 680, Centre Street, Brockton, Plymouth County, Massachusetts, 02302, United States

    BROCKTON, MA 023023308

    Phone: (508) 941-7228

    Fax: (508) 941-6401

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 254 Open Payments records for all available years, with a total value of $4,895.

Total Amount is formed as General ($4,895) + Research ($0) + Ownership ($0) = $4,895.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($534).

Total Amount

$4,895

General + Research + Ownership

Payments

254

Total payment records

General Amount

$4,895

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2012-04-23

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
I20120423000451IPsychiatryMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes812171$0
99215Established patient office or other outpatient visit, 40-54 minutes5840$0
99213Established patient office or other outpatient visit, 20-29 minutes5030$0
99205New patient office or other outpatient visit, 60-74 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 02302)

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Provider's Procedures

ANDREY GAGARIN (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYMA90833Psychotherapy, 30 minutes with patient and/or family member262115

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: 0244218360View full group profile
NameSpecialtyState
Nurse PractitionerMA
Certified Clinical Nurse Specialist (Cns)MA
P S Y C H I A T R YMA
-MA
Clinical PsychologistMA
Clinical Social WorkerMA
Certified Clinical Nurse Specialist (Cns)MA
Clinical Social WorkerMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

What is the registry number for ANDREY GAGARIN (M.D.)?
The registry entry for ANDREY GAGARIN (M.D.) shows NPI 1225074123.
Is ANDREY GAGARIN (M.D.)'s NPI status active today?
Active status means ANDREY GAGARIN (M.D.)'s NPI record is not deactivated in the public file.
What services align with ANDREY GAGARIN (M.D.)'s listing?
ANDREY GAGARIN (M.D.)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANDREY GAGARIN (M.D.)?
ANDREY GAGARIN (M.D.) is associated with Brockton, Massachusetts in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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