TRACY CALLAHAN (PA) – Physician Assistant, NPI 1295115889
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
Provider Addresses for TRACY CALLAHAN (PA)
680 CENTRE ST
BROCKTON, MA 023023308
Phone: (508) 894-0400
Fax: (508) 894-0332
Type: Mailing
286 WASHINGTON ST
STOUGHTON, MA 020721763
Phone: (781) 341-2800
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: 2015-09-18
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 |
|---|---|---|---|---|
| I20150918001016 | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 115 | 22 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 64 | 49 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 54 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 39 | 39 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 28 | 22 | $0 |
Insurance plans in this area (ZIP 02302)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| General Surgery | IL | |
| E N D O C R I N O L O G Y | MI | |
| - | CA | |
| Internal Medicine | MA | |
| - | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | MA | |
| Orthopedic Surgery | MA | |
| - | NY |
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