CORY DESOLE FARAGON (MD) – Anesthesiology Physician, NPI 1275094922

CORY DESOLE FARAGON (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 1014628 (MA). The NPI Number for CORY DESOLE FARAGON (MD) is 1275094922

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
CORY DESOLE FARAGON (MD)
NPI
1275094922
Phone
(617) 638-6975
Address
1 BOSTON MEDICAL CTR PL
Enumeration Date
26 March 2019
Last Update Date
3 February 2026

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
6176386950
Graduation Year
2019 (7 years ago)
PAC ID
9133455025
Group Practice PAC ID
5092055236
Professional Enrollment ID
I20230530000401
Address ID
MA021182908BO1XXXXPLXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

2,323 ANESTHESIOLOGY in MA

Provider Addresses for CORY DESOLE FARAGON (MD)

  • Boston Medical Center, 1, Massachusetts Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    DEPARTMENT OF ANESTHESIA

    BOSTON, MA 021182908

    Phone: (617) 638-6975

    Type: Mailing

  • 1 BOSTON MEDICAL CTR PL DEPT OF

    DEPARTMENT OF ANESTHESIA

    BOSTON, MA 021182908

    Phone: (617) 638-6975

    Type: Location

  • 960 MASSACHUSETTS AVENUE

    FL 2

    BOSTON, MA 021182908

    Phone:

    Type: Mailing

  • 1 BOSTON MEDICAL CENTER PLACE

    BOSTON, MA 021182908

    Phone: (617) 638-6950

    Fax: (617) 638-6966

    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: 2023-05-30

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
I20230530000401IAnesthesiologyMATBD

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 02118)

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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: 5092055236View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)LA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YPA

Reviews

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Frequently asked questions

Is there an official ID for CORY DESOLE FARAGON (MD) in U.S. healthcare records?
The official identifier for CORY DESOLE FARAGON (MD) is NPI 1275094922.
Is there an active status for CORY DESOLE FARAGON (MD)?
For scheduling context, CORY DESOLE FARAGON (MD) is shown as active in the registry.
What area of care is associated with CORY DESOLE FARAGON (MD)?
CORY DESOLE FARAGON (MD)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CORY DESOLE FARAGON (MD)?
Directory geography for CORY DESOLE FARAGON (MD) centers on Boston, Massachusetts.
When was this NPI issued?
Enumeration for CORY DESOLE FARAGON (MD) is noted as March 26, 2019 where the registry provides it.

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