MICHELLE VIDAL (PA-C) – Physician Assistant, NPI 1427618727
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
Provider Addresses for MICHELLE VIDAL (PA-C)
23 PINE ST UNIT D
CANTON, MA 020213346
Phone: (617) 480-3188
Type: Mailing
3 WASHINGTON ST STE 200
NORTH EASTON, MA 023561034
Phone: (617) 480-3188
Type: Location
10, Hunter Lane, Summer Heights, Canton, Norfolk County, Massachusetts, 02021, United States
CANTON, MA 020211731
Phone: (617) 480-3188
Type: Mailing
680 Centre St
Brockton, MA 023023308
Phone: (508) 941-7000
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: 2020-03-30
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 |
|---|---|---|---|---|
| I20200330002967 | 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 |
|---|---|---|---|---|
| J1030 | Injection, methylprednisolone acetate, 40 mg | 61 | 47 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 49 | 46 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 24 | 24 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 02021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| General Surgery | IL | |
| E N D O C R I N O L O G Y | MI | |
| - | CA | |
| Internal Medicine | MA | |
| - | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | MA | |
| Orthopedic Surgery | MA | |
| - | NY |
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