JEFFREY M SOARES (PA-C) – Physician Assistant, NPI 1366773202

JEFFREY M SOARES (PA-C) is a healthcare provider. based in Fall river, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA3902 (MA). The NPI Number for JEFFREY M SOARES (PA-C) is 1366773202

Main info

Male
17 Years Of Experience
Name
JEFFREY M SOARES (PA-C)
NPI
1366773202
Phone
Not provided
Address
1030 PRESIDENT AVE STE 307
Enumeration Date
15 January 2010
Last Update Date
24 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017517546
Graduation Year
2009 (17 years ago)
PAC ID
8123153608
Group Practice PAC ID
4183687205
Professional Enrollment ID
I20100323000476
Address ID
MA027205923FA1030XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for JEFFREY M SOARES (PA-C)

  • 1030 PRESIDENT AVE STE 307

    FALL RIVER, MA 027205928

    Phone:

    Type: Mailing

  • 1, Scobee Circle, Plymouth Mobile Estates, Plymouth, Plymouth County, Massachusetts, 02364-2249, United States

    UNIT 3

    PLYMOUTH, MA 023604887

    Phone: (508) 747-0711

    Fax: (508) 746-9265

    Type: Mailing

  • 145 FAUNCE CORNER MALL RD

    DERMATOLOGY SERVICES

    N DARTMOUTH, MA 02747

    Phone: (508) 993-7601

    Fax: (508) 997-0523

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $1,183.

Total Amount is formed as General ($1,183) + Research ($0) + Ownership ($0) = $1,183.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Arcutis Biotherapeutics, Inc. ($201).

Total Amount

$1,183

General + Research + Ownership

Payments

34

Total payment records

General Amount

$1,183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2010-03-23

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
I20100323000476IPhysician AssistantMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,306252$0
99213Established patient office or other outpatient visit, 20-29 minutes748598$0
17000Destruction of precancer skin growth, 1 growth395333$0
11102Biopsy of related skin growth, first growth211188$0
17110Destruction of skin growth, 1-14 growths153127$0
View full utilization report →

Insurance plans in this area (ZIP 02720)

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Provider's Procedures

JEFFREY M SOARES (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMA17003Destruction of 2-14 skin growths1061155

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: 4183687205View full group profile
NameSpecialtyState
Physician AssistantRI
D E R M A T O L O G YMA

Reviews

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Frequently asked questions

What unique ID ties claims to JEFFREY M SOARES (PA-C)?
NPI 1366773202 is assigned to JEFFREY M SOARES (PA-C) under the national enumeration system.
Is JEFFREY M SOARES (PA-C) currently active in the NPI registry?
CMS-published data lists JEFFREY M SOARES (PA-C) as an active registrant.
What kind of provider is JEFFREY M SOARES (PA-C)?
The page reflects Physician Assistant for JEFFREY M SOARES (PA-C). Clinical services aligned with this taxonomy classification.
Where is JEFFREY M SOARES (PA-C)'s primary listing?
We display Fall River, Massachusetts because that is what the record indicates for JEFFREY M SOARES (PA-C).
What if Fall River, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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