JASON EDWARD DEREK SAUCEDO (M.D.) – Cardiovascular Disease Physician, NPI 1528270253

JASON EDWARD DEREK SAUCEDO (M.D.) is a healthcare provider. based in Brockton, Massachusetts. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), NUCLEAR MEDICINE. They hold the professional credentials M.D.. They hold a License No. 269496 (MA). The NPI Number for JASON EDWARD DEREK SAUCEDO (M.D.) is 1528270253

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JASON EDWARD DEREK SAUCEDO (M.D.)
NPI
1528270253
Phone
(508) 941-7000
Address
110 Liberty St
Enumeration Date
4 May 2007
Last Update Date
19 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089417450
Graduation Year
2005 (21 years ago)
PAC ID
1456515543
Group Practice PAC ID
7719876267
Professional Enrollment ID
I20170518001928
Address ID
MA023022949BR25XXXSTXX300

Contacts

Secure Messaging
jsaucedo272452@UmassMemorial.direct-ci.com
FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness95
Years active:19State licenses:1Other names

1,398 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MA

Provider Addresses for JASON EDWARD DEREK SAUCEDO (M.D.)

  • 110 Liberty St

    Brockton, MA 023015674

    Phone: (508) 941-7000

    Type: Location

  • 25 Libby St

    Brockton, MA 023022949

    Phone: (508) 941-7000

    Type: Location

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 01655

    Phone: (508) 334-3452

    Fax: (774) 441-7657

    Type: Location

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Type: Mailing

  • 1 Donalds Way

    East Bridgewater, MA 023331476

    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: 2017-05-18

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
I20170518001928ICardiovascular Disease (Cardiology)MATBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only504462$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function333329$0
99214Established patient office or other outpatient visit, 30-39 minutes185148$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10850$0
99204New patient office or other outpatient visit, 45-59 minutes6363$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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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: 7719876267View full group profile
NameSpecialtyState
-MA
General SurgeryIL
E N D O C R I N O L O G YMI
-CA
Internal MedicineMA
-NY
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Orthopedic SurgeryMA
-NY

Reviews

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Frequently asked questions

What unique ID ties claims to JASON EDWARD DEREK SAUCEDO (M.D.)?
NPI 1528270253 is assigned to JASON EDWARD DEREK SAUCEDO (M.D.) under the national enumeration system.
Is JASON EDWARD DEREK SAUCEDO (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JASON EDWARD DEREK SAUCEDO (M.D.) list a primary specialty?
If you are matching referrals, note Cardiovascular Disease Physician for JASON EDWARD DEREK SAUCEDO (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place JASON EDWARD DEREK SAUCEDO (M.D.)?
The snapshot lists Brockton, Massachusetts for JASON EDWARD DEREK SAUCEDO (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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