NICOLE JARDIN PECQUEX (M.D.) – Surgery Physician, NPI 1467447300
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,028 GENERAL SURGERY in MA
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Provider Addresses for NICOLE JARDIN PECQUEX (M.D.)
11, Nevins Street, Bugg Village, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States
BRIGHTON, MA 021353514
Phone: (617) 789-2442
Fax: (617) 789-4207
Type: Mailing
736 Cambridge St
Surgery - Inpatient
Brighton, MA 02135
Phone: (617) 789-2442
Fax: (617) 202-4349
Type: Location
960 MASSACHUSETTS AVE
FL 2
BOSTON, MA 021182690
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $358.
Total Amount is formed as General ($358) + Research ($0) + Ownership ($0) = $358.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Ethicon US, LLC ($316).
Total Amount
$358
General + Research + Ownership
Payments
6
Total payment records
General Amount
$358
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $316 |
| W. L. Gore & Associates, Inc. | $28 |
| Smith+Nephew, Inc. | $14 |
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: 2004-03-30
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 |
|---|---|---|---|---|
| I20040330000889 | I | General 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 34 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 02135)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| N E U R O S U R G E R Y | FL | |
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Internal Medicine | MA | |
| - | PA | |
| General Surgery | PA | |
| - | PA | |
| - | MA | |
| - | MA |
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