DR. NICHOLAS E. FAY (M.D.) – Emergency Medicine Physician, NPI 1639188808

DR. NICHOLAS E. FAY (M.D.) is a healthcare provider. based in Palmer, Massachusetts. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 153751 (MA). The NPI Number for DR. NICHOLAS E. FAY (M.D.) is 1639188808

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS E. FAY (M.D.)
NPI
1639188808
Phone
(413) 284-5308
Address
40 WRIGHT ST
Enumeration Date
5 August 2006
Last Update Date
4 November 2016

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
4132838761
Graduation Year
1995 (31 years ago)
PAC ID
2365422219
Group Practice PAC ID
5991602971
Professional Enrollment ID
I20040722000238
Address ID
MA010691138PA40XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,682 EMERGENCY MEDICINE in MA

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Provider Addresses for DR. NICHOLAS E. FAY (M.D.)

  • Wing Memorial Hospital, 40, Wright Street, Palmer Green Estates, Palmer, Hampden County, Massachusetts, 01069, United States

    PALMER, MA 010691138

    Phone: (413) 284-5308

    Fax: (413) 284-5413

    Type: Location

  • 280, Chestnut Street, Metro Center, Springfield, Hampden County, Massachusetts, 01103, United States

    2ND FLOOR

    SPRINGFIELD, MA 011991001

    Phone: (413) 794-5700

    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: 2004-07-22

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
I20040722000238IEmergency MedicineMATBD

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
99284Emergency department visit with moderate level of medical decision making300279$0
99285Emergency department visit with high level of medical decision making279269$0
99283Emergency department visit with low level of medical decision making9790$0
99291Critical care, first 30-74 minutes3232$0
76937Ultrasonic guidance for blood vessel access1312$0
View full utilization report →

Insurance plans in this area (ZIP 01069)

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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: 5991602971View full group profile

Reviews

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Frequently asked questions

What is DR. NICHOLAS E. FAY (M.D.)'s NPI number?
DR. NICHOLAS E. FAY (M.D.)'s NPI is 1639188808 — the number used across U.S. healthcare to identify this provider.
Would DR. NICHOLAS E. FAY (M.D.) appear as active to a payer?
You can treat DR. NICHOLAS E. FAY (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. NICHOLAS E. FAY (M.D.)?
DR. NICHOLAS E. FAY (M.D.)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. NICHOLAS E. FAY (M.D.)?
Travel planning: use Palmer, Massachusetts as the reference point for DR. NICHOLAS E. FAY (M.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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