JON S MOUSSALLY (M.D.) – Emergency Medicine Physician, NPI 1568579142
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,682 EMERGENCY MEDICINE in MA
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Provider Addresses for JON S MOUSSALLY (M.D.)
North Shore Medical Center - Salem Hospital, 81, Highland Avenue, Salem, Essex County, Massachusetts, 01970, United States
SALEM, MA 019702714
Phone: (978) 354-3500
Type: Location
22, Chauncy Street, Neighborhood Nine, Cambridge, Middlesex County, Massachusetts, 02138, United States
APARTMENT #18
CAMBRIDGE, MA 021382425
Phone: (617) 233-5368
Type: Mailing
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: 2007-06-12
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 |
|---|---|---|---|---|
| I20070612000636 | I | Emergency Medicine | 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 | 419 | 403 | $0 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 193 | 191 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 151 | 148 | $0 |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 142 | 140 | $0 |
| 81003 | Automated urinalysis test | 79 | 76 | $0 |
Insurance plans in this area (ZIP 01970)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| Hospice/Palliative Care | MI | |
| Emergency Medicine | MA | |
| - | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| Emergency Medicine | MA | |
| - | MA |
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