KATHLEEN CARA COAN (MD) – Emergency Medicine Physician, NPI 1255622304

KATHLEEN CARA COAN (MD) is a healthcare provider. based in Southbridge, Massachusetts. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 262402 (MA). The NPI Number for KATHLEEN CARA COAN (MD) is 1255622304

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN CARA COAN (MD)
NPI
1255622304
Phone
(508) 765-9771
Address
100 SOUTH ST
Enumeration Date
25 April 2011
Last Update Date
25 June 2015

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
5088450127
Graduation Year
2011 (15 years ago)
PAC ID
8820220759
Group Practice PAC ID
5597753251
Professional Enrollment ID
I20150730011718
Address ID
MA017573003MI14XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,682 EMERGENCY MEDICINE in MA

Provider Addresses for KATHLEEN CARA COAN (MD)

  • 100 SOUTH ST

    SOUTHBRIDGE, MA 015504051

    Phone: (508) 765-9771

    Fax: (508) 764-2448

    Type: Location

  • PO BOX 40

    SOUTHBRIDGE, MA 015500040

    Phone: (508) 909-7799

    Fax: (508) 764-2432

    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: 2015-07-30

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
I20150730011718IEmergency MedicineMATBD

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
99285Emergency department visit with high level of medical decision making465444$0
99291Critical care, first 30-74 minutes4343$0
99284Emergency department visit with moderate level of medical decision making4039$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1915$0
99292Critical care, each additional 30 minutes1411$0
View full utilization report →

Insurance plans in this area (ZIP 01550)

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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: 5597753251View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to KATHLEEN CARA COAN (MD)?
NPI 1255622304 is assigned to KATHLEEN CARA COAN (MD) under the national enumeration system.
Does this profile mean KATHLEEN CARA COAN (MD) is currently active?
Yes — KATHLEEN CARA COAN (MD) appears active in the national provider directory.
What field does KATHLEEN CARA COAN (MD) work in?
You can think of KATHLEEN CARA COAN (MD) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is KATHLEEN CARA COAN (MD)'s primary listing?
We display Southbridge, Massachusetts because that is what the record indicates for KATHLEEN CARA COAN (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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