STEPHANIE S ECCLESTON (PA-C) – Surgical Physician Assistant, NPI 1235245861
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
Provider Addresses for STEPHANIE S ECCLESTON (PA-C)
4, Birch Road, Wilmington, Middlesex County, Massachusetts, 01887, United States
WILMINGTON, MA 018872676
Phone: (781) 953-5611
Type: Mailing
800 Washington St.
Boston, MA 02111
Phone: (617) 636-5000
Type: Location
Burlington, 572, Great Mall Drive, Great Mall, Milpitas, Santa Clara County, California, 95035-8004, United States
BURLINGTON, MA 018050001
Phone: (781) 744-5100
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: 2006-09-13
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 |
|---|---|---|---|---|
| I20060913000024 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 01887)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | MA | |
| Internal Medicine | MA | |
| A N E S T H E S I O L O G Y | MA | |
| - | MA | |
| Clinical Social Worker | MA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| - | MA |
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