MR. SEAN KEVIN PIECHOCKI (PA-C) – Physician Assistant, NPI 1316902489
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. SEAN KEVIN PIECHOCKI (PA-C)
55 FRUIT ST
BOSTON, MA 021142621
Phone: (401) 741-1884
Type: Location
164 Summit Ave
Providence, RI 02906
Phone: (401) 793-3598
Type: Location
2 Dudley St Ste 470
Providence, RI 029053248
Phone: (401) 553-8320
Fax: (401) 868-2322
Type: Location
PO BOX 415348
BOSTON, MA 022415348
Phone:
Type: Mailing
55 LAKE AVE N
WORCESTER, MA 016550002
Phone: (508) 334-1955
Fax: (508) 334-9762
Type: Location
Miriam Hospital, 164, Summit Avenue, Providence, Providence County, Rhode Island, 02906, United States
PROVIDENCE, RI 02906
Phone: (401) 793-3598
Type: Location
35, Glen Avenue, Pawtuxet, Cranston, Providence County, Rhode Island, 02905, United States
CRANSTON, RI 02905
Phone: (401) 741-1884
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $170.
Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($170).
Total Amount
$170
General + Research + Ownership
Payments
1
Total payment records
General Amount
$170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $170 |
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: 2018-01-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20120530000549 | I | Physician Assistant | RI | TBD |
| I20180113000065 | 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 |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 22 | 22 | $0 |
Insurance plans in this area (ZIP 02114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | RI | |
| Internal Medicine | RI | |
| Physician Assistant | RI | |
| Cardiovascular Disease (Cardiology) | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | RI | |
| Internal Medicine | RI | |
| Emergency Medicine | RI | |
| Pulmonary Disease, Internal Medicine | RI | |
| Nurse Practitioner | RI |
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