THERESE SOBALLE CERMAK (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1346480936
Anatomic Pathology & Clinical Pathology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for THERESE SOBALLE CERMAK (MD)
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
BOSTON, MA 022418283
Phone: (703) 558-1544
Type: Mailing
Medical and Dental Building, 3900, Reservoir Road Northwest, Burleith/Hillandale, Georgetown, Washington, Washington, D.C., 20007, United States
MED DENT BLDG SW, OFFICE 206
WASHINGTON, DC 200072126
Phone: (202) 687-6680
Fax: (202) 687-8935
Type: Location
PO BOX 745344
ATLANTA, GA 303745344
Phone: (703) 689-9093
Fax: (703) 639-9580
Type: Mailing
1850 TOWN CENTER PKWY
RESTON, VA 201903204
Phone: (703) 689-9093
Fax: (703) 639-9580
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: 2021-03-25
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20110819000316 | I | Pathology | DC | TBD |
| I20210325001485 | I | Pathology | VA | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 724 | 308 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 159 | 43 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 113 | 80 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 110 | 78 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 68 | 57 | $0 |
Insurance plans in this area (ZIP 02241)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | DC | 88342 | Tissue or cell analysis by immunologic technique | 216 | 184 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MD | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | MO | |
| P A T H O L O G Y | VA | |
| P A T H O L O G Y | GA | |
| P A T H O L O G Y | FL | |
| P A T H O L O G Y | VA | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | MD | |
| P A T H O L O G Y | CA |
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