DR. CHARLES PAUL DERMODY (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1336203827
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
125 ORAL SURGERY in MA
Provider Addresses for DR. CHARLES PAUL DERMODY (DDS)
274 BARNSTABLE RD
HYANNIS, MA 026012919
Phone: (508) 771-0500
Type: Location
2141 Boston Rd
Wilbraham, MA 010951253
Phone: (413) 599-1600
Type: Location
567 Southbridge St Ste 7
Auburn, MA 015012256
Phone: (508) 832-3317
Type: Location
231, Wade Road Extension, Whitney Estates, Town of Colonie, Albany County, New York, 12110, United States
SUITE 101
LATHAM, NY 121101855
Phone: (518) 782-1900
Fax: (518) 782-1318
Type: Location
Box, Via Antonio Ascari, Syracuse, Siracusa, Sicily, Italy
SYRACUSE, NY 132203189
Phone: (315) 454-6000
Fax: (315) 454-8650
Type: Mailing
PO BOX 7309
SIASCONSET, MA 025647309
Phone: (845) 264-1361
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 $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2023-02-01 • Largest payer in this snapshot: 3M Company ($29).
Total Amount
$29
General + Research + Ownership
Payments
1
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| 3M Company | $29 |
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: 2024-05-03
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 |
|---|---|---|---|---|
| I20240503001905 | I | Oral Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Oral Surgery | MA | |
| Oral Surgery | MA | |
| Oral Surgery | MA | |
| Oral Surgery | SD | |
| Oral Surgery | CT |
Reviews
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