GRACE FANTL (PA-C) – Physician Assistant, NPI 1710461595
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
Provider Addresses for GRACE FANTL (PA-C)
145 Faunce Corner Mall Rd
N Dartmouth, MA 027476216
Phone: (508) 993-7601
Fax: (508) 997-0523
Type: Location
153 E Washington St
North Attleboro, MA 027602312
Phone: (508) 699-7546
Fax: (508) 699-7570
Type: Location
27950 US HIGHWAY 27
LEESBURG, FL 347489050
Phone: (352) 350-5230
Type: Mailing
145 FAUNCE CORNER MALL RD
N DARTMOUTH, MA 027476216
Phone: (508) 993-7601
Fax: (508) 997-0523
Type: Mailing
526 MAIN ST STE 302
ACTON, MA 017203301
Phone: (978) 371-7010
Fax: (978) 371-0522
Type: Mailing
829 AMERICAN LEGION HWY
WESTPORT, MA 027904128
Phone: (508) 306-1400
Fax: (978) 371-0522
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $1,006.
Total Amount is formed as General ($1,006) + Research ($0) + Ownership ($0) = $1,006.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($236).
Total Amount
$1,006
General + Research + Ownership
Payments
27
Total payment records
General Amount
$1,006
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $236 |
| GENZYME CORPORATION | $134 |
| Galderma Laboratories, L.P. | $129 |
| Lilly USA, LLC | $106 |
| Arcutis Biotherapeutics, Inc. | $92 |
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: 2022-09-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220915001504 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 916 | 190 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 620 | 465 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 310 | 271 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 194 | 152 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 151 | 151 | $0 |
Insurance plans in this area (ZIP 02747)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA |
Reviews
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