EDWARD T III LAHEY (MD, DMD) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1265447965

EDWARD T III LAHEY (MD, DMD) is a healthcare provider. based in Boston, Massachusetts. specializing in MAXILLOFACIAL SURGERY, ORAL SURGERY. They hold the professional credentials MD, DMD. They hold a License No. DN21157 (MA). The NPI Number for EDWARD T III LAHEY (MD, DMD) is 1265447965

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD T III LAHEY (MD, DMD)
NPI
1265447965
Phone
(617) 636-6515
Address
1 KNEELAND ST FL 5
Enumeration Date
30 July 2006
Last Update Date
4 August 2023

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
4284635285
Group Practice PAC ID
3779522628
Professional Enrollment ID
I20070117000432
Address ID
MA021111527BO200XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

66 MAXILLOFACIAL SURGERY in MA

Provider Addresses for EDWARD T III LAHEY (MD, DMD)

  • 1 KNEELAND ST FL 5

    BOSTON, MA 021111529

    Phone: (617) 636-6515

    Fax: (617) 636-6809

    Type: Mailing

  • 15 PARKMAN ST WAC 230

    ORAL & MAXILLOFACIAL SURGERY

    BOSTON, MA 02114

    Phone: (617) 726-8222

    Type: Location

  • 77 S BEDFORD ST STE 100

    BURLINGTON, MA 018035154

    Phone: (781) 272-0800

    Type: Mailing

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    MASS GENERAL PHYSICIANS ORGANIZATION INC

    CHARLESTOWN, MA 021299142

    Phone: (617) 726-2740

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $322.

Total Amount is formed as General ($322) + Research ($0) + Ownership ($0) = $322.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Straumann USA LLC ($250).

Total Amount

$322

General + Research + Ownership

Payments

4

Total payment records

General Amount

$322

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-01-17

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
I20070117000432IMaxillofacial SurgeryMATBD

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 02111)

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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: 3779522628View full group profile

Reviews

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Frequently asked questions

Can I cross-check EDWARD T III LAHEY (MD, DMD) using NPI 1265447965?
NPI 1265447965 belongs to EDWARD T III LAHEY (MD, DMD); compare other details if you need extra assurance.
Would EDWARD T III LAHEY (MD, DMD) appear as active to a payer?
You can treat EDWARD T III LAHEY (MD, DMD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to EDWARD T III LAHEY (MD, DMD)?
EDWARD T III LAHEY (MD, DMD)'s specialty line reads Oral & Maxillofacial Surgery (D.M.D.). Clinical services aligned with this taxonomy classification.
Is EDWARD T III LAHEY (MD, DMD) associated with Boston?
Public fields place EDWARD T III LAHEY (MD, DMD) around Boston, Massachusetts. Always confirm the exact site before visiting.
Does EDWARD T III LAHEY (MD, DMD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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