FLAVIA FEDELES (M.D.) – Dermatology Physician, NPI 1376851972

FLAVIA FEDELES (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 258245 (MA). The NPI Number for FLAVIA FEDELES (M.D.) is 1376851972

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
FLAVIA FEDELES (M.D.)
NPI
1376851972
Phone
(781) 744-8348
Address
800 Washington St
Enumeration Date
16 September 2010
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
7812358155
Graduation Year
2010 (16 years ago)
PAC ID
1759509151
Group Practice PAC ID
5193807899
Professional Enrollment ID
I20140827000353
Address ID
MA024817536WE10XXXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

744 DERMATOLOGY in MA

Provider Addresses for FLAVIA FEDELES (M.D.)

  • 800 Washington St

    Boston, MA 021111552

    Phone: (781) 744-8348

    Type: Location

  • 50 STANIFORD ST

    BOSTON, MA 021142517

    Phone: (617) 726-2914

    Type: Mailing

  • 10 LAUREL AVE STE 300

    WELLESLEY, MA 024817536

    Phone: (781) 235-8155

    Fax: (781) 235-2855

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ABBVIE INC. ($53).

Total Amount

$77

General + Research + Ownership

Payments

3

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2014-08-27

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
I20140827000353IDermatologyMATBD

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 growths1,097178$0
99213Established patient office or other outpatient visit, 20-29 minutes343277$0
17000Destruction of precancer skin growth, 1 growth287221$0
99214Established patient office or other outpatient visit, 30-39 minutes226178$0
11102Biopsy of related skin growth, first growth138121$0
View full utilization report →

Insurance plans in this area (ZIP 02111)

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Provider's Procedures

FLAVIA FEDELES (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMA11101Biopsy of each additional growth of skin and/or tissue181107
DERMATOLOGYMA17003Destruction of 2-14 skin growths1847328

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: 5193807899View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
Physician AssistantMA
D E R M A T O L O G YMA
Dermatology, PathologyMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMD

Reviews

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Frequently asked questions

What unique ID ties claims to FLAVIA FEDELES (M.D.)?
NPI 1376851972 is assigned to FLAVIA FEDELES (M.D.) under the national enumeration system.
Is FLAVIA FEDELES (M.D.) currently active in the NPI registry?
CMS-published data lists FLAVIA FEDELES (M.D.) as an active registrant.
What kind of provider is FLAVIA FEDELES (M.D.)?
The page reflects Dermatology Physician for FLAVIA FEDELES (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place FLAVIA FEDELES (M.D.)?
The snapshot lists Boston, Massachusetts for FLAVIA FEDELES (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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