DR. THERESA A. HADLOCK (M.D.) – Facial Plastic Surgery Physician, NPI 1578554549

DR. THERESA A. HADLOCK (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 213813 (MA). The NPI Number for DR. THERESA A. HADLOCK (M.D.) is 1578554549

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. THERESA A. HADLOCK (M.D.)
NPI
1578554549
Phone
(617) 573-4458
Address
243 CHARLES ST
Enumeration Date
31 October 2005
Last Update Date
29 May 2025

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
6319983495
Graduation Year
1994 (32 years ago)
PAC ID
5092900704
Group Practice PAC ID
8426412578
Professional Enrollment ID
I20101108000927
Address ID
MA021103036BO200XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

392 OTOLARYNGOLOGY in MA

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Provider Addresses for DR. THERESA A. HADLOCK (M.D.)

  • Massachusetts Eye and Ear, 243, Charles Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States

    BOSTON, MA 021143002

    Phone: (617) 573-4458

    Type: Mailing

  • 200 HIGH ST FL 5

    BOSTON, MA 021103036

    Phone: (617) 221-6909

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $161.

Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.

Last reported payment date: 2023-09-20 • Largest payer in this snapshot: ABBVIE INC. ($161).

Total Amount

$161

General + Research + Ownership

Payments

1

Total payment records

General Amount

$161

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$161
View all Open Payments →|Open Payments Risk Radar →

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: 2010-11-08

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
I20101108000927IOtolaryngologyMATBD

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
J0585Injection, onabotulinumtoxina, 1 unit1,05011$0
64612Injection of chemical for paralysis of nerve muscles on side of face3634$0
99213Established patient office or other outpatient visit, 20-29 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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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: 8426412578View full group profile
NameSpecialtyState
Physician AssistantMA

Reviews

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Frequently asked questions

Is DR. THERESA A. HADLOCK (M.D.) listed with a National Provider Identifier?
Yes — DR. THERESA A. HADLOCK (M.D.) has NPI 1578554549 on file in the registry.
Is DR. THERESA A. HADLOCK (M.D.) still an active registrant?
DR. THERESA A. HADLOCK (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. THERESA A. HADLOCK (M.D.)?
DR. THERESA A. HADLOCK (M.D.)'s record emphasizes Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. THERESA A. HADLOCK (M.D.) associated with Boston?
Public fields place DR. THERESA A. HADLOCK (M.D.) around Boston, Massachusetts. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. THERESA A. HADLOCK (M.D.) is noted as October 31, 2005 where the registry provides it.

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