DUANE HERSOM – Physical Therapist, NPI 1518703222

DUANE HERSOM is a healthcare provider. based in Woburn, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 27661 (MA). The NPI Number for DUANE HERSOM is 1518703222

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DUANE HERSOM
NPI
1518703222
Phone
Not provided
Address
800 W CUMMINGS PARK
Enumeration Date
2 July 2024
Last Update Date
2 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7819357701
Graduation Year
2024 (2 years ago)
PAC ID
6305386368
Group Practice PAC ID
2163785221
Professional Enrollment ID
I20240905002868
Address ID
MA018872179WI60XXXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for DUANE HERSOM

  • 800 W CUMMINGS PARK

    WOBURN, MA 018016372

    Phone:

    Mailing address matches the actual address.

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: 2024-09-05

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
I20240905002868IPhysical Therapist In Private PracticeMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01801)

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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: 2163785221View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
-MA
Occupational Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

Is there an official ID for DUANE HERSOM in U.S. healthcare records?
The official identifier for DUANE HERSOM is NPI 1518703222.
Active or inactive — what applies to DUANE HERSOM?
You should see DUANE HERSOM as active in CMS-hosted NPPES data.
What kind of doctor is DUANE HERSOM?
DUANE HERSOM is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DUANE HERSOM?
Travel planning: use Woburn, Massachusetts as the reference point for DUANE HERSOM, then confirm.
When was this NPI issued?
Enumeration for DUANE HERSOM is noted as July 2, 2024 where the registry provides it.

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