DR. PHILIP RYAN MOLARTE CAMILON (M.D.) – Pediatric Otolaryngology Physician, NPI 1285049510

DR. PHILIP RYAN MOLARTE CAMILON (M.D.) is a healthcare provider. based in Danvers, Massachusetts. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 1016606 (MA). The NPI Number for DR. PHILIP RYAN MOLARTE CAMILON (M.D.) is 1285049510

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP RYAN MOLARTE CAMILON (M.D.)
NPI
1285049510
Phone
(978) 745-6601
Address
104 ENDICOTT ST STE 100
Enumeration Date
25 June 2014
Last Update Date
20 February 2024

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9787456601
Graduation Year
2014 (12 years ago)
PAC ID
0648492538
Group Practice PAC ID
9032138367
Professional Enrollment ID
I20240110001080
Address ID
MA019230009DA104XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:11State licenses:3Digital endpointsOther names

1,359 OTOLARYNGOLOGY in CA

Provider Addresses for DR. PHILIP RYAN MOLARTE CAMILON (M.D.)

  • 104 ENDICOTT ST STE 100

    DANVERS, MA 019230009

    Phone: (978) 745-6601

    Fax: (978) 744-4872

    Type: Mailing

  • 50 NORTH MEDICAL DR SOM 3C120

    SALT LAKE CITY, UT 841320001

    Phone: (801) 581-7514

    Type: Mailing

  • 505 S MAIN ST STE 275

    ORANGE, CA 928684547

    Phone: (714) 836-6607

    Fax: (714) 836-6600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $6,256.

Total Amount is formed as General ($6,256) + Research ($0) + Ownership ($0) = $6,256.

Last reported payment date: 2024-11-02 • Largest payer in this snapshot: Smith+Nephew, Inc. ($6,121).

Total Amount

$6,256

General + Research + Ownership

Payments

11

Total payment records

General Amount

$6,256

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-02

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: 2024-01-10

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
I20240110001080IOtolaryngologyMATBD

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 01923)

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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: 9032138367View full group profile
NameSpecialtyState
Qualified AudiologistMA
Qualified AudiologistMA
O T O L A R Y N G O L O G YMA
Qualified AudiologistMA
Qualified AudiologistMA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA
Qualified AudiologistMA
Qualified AudiologistMA
Physician AssistantMA

Reviews

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Frequently asked questions

How is DR. PHILIP RYAN MOLARTE CAMILON (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. PHILIP RYAN MOLARTE CAMILON (M.D.) with NPI 1285049510.
Does the file indicate DR. PHILIP RYAN MOLARTE CAMILON (M.D.) is practicing under active NPI?
Directory data currently reports DR. PHILIP RYAN MOLARTE CAMILON (M.D.) as active.
What healthcare role does DR. PHILIP RYAN MOLARTE CAMILON (M.D.) hold?
Scheduling teams often label DR. PHILIP RYAN MOLARTE CAMILON (M.D.) under Pediatric Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. PHILIP RYAN MOLARTE CAMILON (M.D.)?
DR. PHILIP RYAN MOLARTE CAMILON (M.D.)'s geographic hint is Danvers, Massachusetts in our summary view.
Is the information about DR. PHILIP RYAN MOLARTE CAMILON (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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