VIKKI LOUISE NOONAN (D.M.D., D.M.SC.) – Oral and Maxillofacial Pathology Dentistry, NPI 1619980745
Oral and Maxillofacial Pathology Dentistry
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
72 DENTIST in MA
Provider Addresses for VIKKI LOUISE NOONAN (D.M.D., D.M.SC.)
1 Cranberry Hl
Lexington, MA 024217394
Phone: (800) 325-7284
Fax: (205) 579-9387
Type: Location
133, Brookline Avenue, Audubon Square, Boston, Suffolk County, Massachusetts, 02215, United States
6TH FLOOR;HARVARD VANGUARD MEDICAL ASSOC.;DEPT OF PATH.
BOSTON, MA 022153904
Phone: (617) 421-2844
Fax: (617) 421-2423
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2004-12-10
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20041210000493 | I | Dentist | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 638 | 596 | $0 |
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 88 | 22 | $0 |
| 88311 | Preparation of tissue for examination by removing any calcium present | 86 | 45 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 72 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 40 | $0 |
Insurance plans in this area (ZIP 02421)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Maxillofacial Surgery, Oral Surgery | NC | |
| Physical Therapist In Private Practice | MA | |
| Physical Therapist In Private Practice | MA | |
| Clinical Psychologist | MA | |
| Physical Therapist In Private Practice | MA | |
| Dentist, Oral Surgery | MA | |
| Oral Surgery | NY | |
| D E N T I S T | MA | |
| - | MA | |
| Physical Therapist In Private Practice | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.