DR. JIANREN MAO (MD PHD) – Pain Medicine (Anesthesiology) Physician, NPI 1578554580

DR. JIANREN MAO (MD PHD) is a healthcare provider. based in Charlestown, Massachusetts. specializing in Pain Medicine (Anesthesiology) Physician. They hold the professional credentials MD PHD. They hold a License No. 159628 (MA). The NPI Number for DR. JIANREN MAO (MD PHD) is 1578554580

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. JIANREN MAO (MD PHD)
NPI
1578554580
Phone
(617) 726-8810
Address
PO BOX 9142
Enumeration Date
31 October 2005
Last Update Date
13 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177240287
Graduation Year
1983 (43 years ago)
PAC ID
4981689809
Group Practice PAC ID
2466365820
Professional Enrollment ID
I20040623000822
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JIANREN MAO (MD PHD)

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    MASS GENERAL PHYSICIAN ORGANIZATION

    CHARLESTOWN, MA 021299142

    Phone: (617) 726-8810

    Fax: (617) 726-3441

    Type: Mailing

  • 15, Parkman Street, Fields Corner, Dorchester, Boston, Suffolk County, Massachusetts, 02122, United States

    WAC 324 ANESTHESIA PAIN MANAGEMENT

    BOSTON, MA 021143117

    Phone: (617) 726-8810

    Fax: (617) 724-3441

    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: 2004-06-23

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
I20040623000822IPain ManagementMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7645$0
99443Telephone medical discussion with physician, 21-30 minutes4126$0
View full utilization report →

Insurance plans in this area (ZIP 02129)

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Provider's Procedures

DR. JIANREN MAO (MD PHD) performs procedures in Pain Medicine (Anesthesiology) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PAIN MANAGEMENTMA62311Injections of substances into lower or sacral spine2818

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: 2466365820View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Diagnostic RadiologyMA
Nephrology, Internal MedicineMA
Nurse PractitionerMA
P A T H O L O G YNY
P A T H O L O G YMA
P S Y C H I A T R YMA
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)MA
H E M A T O L O G Y/ O N C O L O G YMA
N E U R O L O G YMA

Reviews

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Frequently asked questions

What is the standard ID for DR. JIANREN MAO (MD PHD) in the U.S.?
In the U.S., DR. JIANREN MAO (MD PHD) is identified by NPI 1578554580.
Is DR. JIANREN MAO (MD PHD) currently accepting referrals based on NPI status?
Registry metadata lists DR. JIANREN MAO (MD PHD) as active.
What services align with DR. JIANREN MAO (MD PHD)'s listing?
DR. JIANREN MAO (MD PHD)'s public classification highlights Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JIANREN MAO (MD PHD)?
DR. JIANREN MAO (MD PHD) shows a connection to Charlestown, Massachusetts in registry-derived data.
Who maintains DR. JIANREN MAO (MD PHD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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