THOMAS T. STREETER (M.D.) – Surgery Physician, NPI 1700954542

THOMAS T. STREETER (M.D.) is a healthcare provider. based in Fairhaven, Massachusetts. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 76500 (MA). The NPI Number for THOMAS T. STREETER (M.D.) is 1700954542

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS T. STREETER (M.D.)
NPI
1700954542
Phone
(508) 973-2000
Address
200 MILL RD
Enumeration Date
1 December 2006
Last Update Date
27 April 2020

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5089737766
Graduation Year
1980 (46 years ago)
PAC ID
1052308467
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20040428000457
Address ID
MA027205281FA534XXSTXX300

Contacts

Secure Messaging
tstreeter6411@direct.southcoast.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,028 GENERAL SURGERY in MA

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Provider Addresses for THOMAS T. STREETER (M.D.)

  • 200, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States

    STE 180

    FAIRHAVEN, MA 027195252

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    Type: Mailing

  • 100, Rosebrook Way, Wareham, Plymouth County, Massachusetts, 02571, United States

    3RD FLOOR

    WAREHAM, MA 025711138

    Phone: (508) 273-4900

    Fax: (508) 273-4901

    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: 2004-04-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040428000457IGeneral SurgeryMATBD

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
11042Removal of skin and tissue, 20.0 sq cm or less550167$0
11045Removal of skin and tissue, each additional 20.0 sq cm or less19037$0
99212Established patient office or other outpatient visit, 10-19 minutes3829$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional3228$0
99203New patient office or other outpatient visit, 30-44 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 02719)

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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: 0749171957View full group profile
NameSpecialtyState
Pain Management, AnesthesiologyMA
Physician AssistantMA
-MA
Physical Therapist In Private PracticeMA
H O S P I T A L I S TRI
-MA
-MA
Physician AssistantMA
General SurgeryMA
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for THOMAS T. STREETER (M.D.)?
THOMAS T. STREETER (M.D.) — NPI 1700954542 — is the standard way to identify this listing.
Does the file indicate THOMAS T. STREETER (M.D.) is practicing under active NPI?
Directory data currently reports THOMAS T. STREETER (M.D.) as active.
What is THOMAS T. STREETER (M.D.)'s specialty?
The listing groups THOMAS T. STREETER (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is THOMAS T. STREETER (M.D.) based?
THOMAS T. STREETER (M.D.) is tied to Fairhaven, Massachusetts in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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