DEMPSEY KEVIN GOODALE (PA-C) – Physician Assistant, NPI 1235014754

DEMPSEY KEVIN GOODALE (PA-C) is a healthcare provider. based in Jamaica plain, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA101936 (MA). The NPI Number for DEMPSEY KEVIN GOODALE (PA-C) is 1235014754

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
DEMPSEY KEVIN GOODALE (PA-C)
NPI
1235014754
Phone
(860) 899-4051
Address
3587 WASHINGTON ST APT 3
Enumeration Date
6 August 2025
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6175809116
Graduation Year
2025 (1 year ago)
PAC ID
3870087646
Group Practice PAC ID
8921540774
Professional Enrollment ID
I20251209003486
Address ID
MA021514396RE339XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for DEMPSEY KEVIN GOODALE (PA-C)

  • 3587 WASHINGTON ST APT 3

    JAMAICA PLAIN, MA 021302669

    Phone: (860) 899-4051

    Type: Mailing

  • 500 CONGRESS ST

    QUINCY, MA 021690908

    Phone: (617) 376-6600

    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: 2025-12-09

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
I20251209003486IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02130)

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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: 8921540774View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerTX
Physician AssistantMA
Physician AssistantNY
Internal MedicineMA

Reviews

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Frequently asked questions

Does DEMPSEY KEVIN GOODALE (PA-C) have a public NPI I can cite?
Public records show DEMPSEY KEVIN GOODALE (PA-C) under NPI 1235014754.
Should I treat DEMPSEY KEVIN GOODALE (PA-C) as an active provider?
Patients and plans typically see DEMPSEY KEVIN GOODALE (PA-C) as active in the national extract.
What services align with DEMPSEY KEVIN GOODALE (PA-C)'s listing?
DEMPSEY KEVIN GOODALE (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is DEMPSEY KEVIN GOODALE (PA-C) tied to Jamaica Plain, Massachusetts?
If you are local to Jamaica Plain, Massachusetts, DEMPSEY KEVIN GOODALE (PA-C) may be relevant to your search.
Why is information missing for DEMPSEY KEVIN GOODALE (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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