DAVID SAMUEL FEFFERMAN (M.D.) – Gastroenterology Physician, NPI 1720015928

DAVID SAMUEL FEFFERMAN (M.D.) is a healthcare provider. based in Stoneham, Massachusetts. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 223626 (MA). The NPI Number for DAVID SAMUEL FEFFERMAN (M.D.) is 1720015928

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DAVID SAMUEL FEFFERMAN (M.D.)
NPI
1720015928
Phone
(781) 864-1295
Address
91 MONTVALE AVE
Enumeration Date
26 June 2006
Last Update Date
24 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7815189053
Graduation Year
2000 (26 years ago)
PAC ID
9032152897
Group Practice PAC ID
8527017268
Professional Enrollment ID
I20050603000015
Address ID
MA021803649ST91XXXAVEX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

829 GASTROENTEROLOGY in MA

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Provider Addresses for DAVID SAMUEL FEFFERMAN (M.D.)

  • 91, Montvale Avenue, Nobility Hill Historic District, Lindenwood, Stoneham, Middlesex County, Massachusetts, 02180, United States

    STONEHAM, MA 021803623

    Phone: (781) 864-1295

    Fax: (781) 665-4162

    Type: Mailing

  • Medical Arts Building, 3, Woodland Road, Stoneham, Middlesex County, Massachusetts, 02180, United States

    SUITE 306

    STONEHAM, MA 021801702

    Phone: (781) 665-3380

    Fax: (781) 665-4162

    Type: Location

  • 91 MONTVALE AVE STE 206

    STONEHAM, MA 021803649

    Phone: (781) 665-3380

    Fax: (781) 665-8288

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $877.

Total Amount is formed as General ($877) + Research ($0) + Ownership ($0) = $877.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GENZYME CORPORATION ($203).

Total Amount

$877

General + Research + Ownership

Payments

29

Total payment records

General Amount

$877

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-06-03

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
I20050603000015IGastroenterologyMATBD

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare250250$0
99214Established patient office or other outpatient visit, 30-39 minutes208158$0
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito179177$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope9694$0
99204New patient office or other outpatient visit, 45-59 minutes8080$0
View full utilization report →

Insurance plans in this area (ZIP 02180)

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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: 8527017268View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMI
-MA
G A S T R O E N T E R O L O G YNY
G A S T R O E N T E R O L O G YMA
Gastroenterology, Internal MedicineMA
G A S T R O E N T E R O L O G YMA
Internal MedicineMA
G A S T R O E N T E R O L O G YMA
G A S T R O E N T E R O L O G YMA
-MA

Reviews

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Frequently asked questions

How do I look up DAVID SAMUEL FEFFERMAN (M.D.) by NPI?
Use NPI 1720015928 when you need to reference DAVID SAMUEL FEFFERMAN (M.D.) in forms, claims, or directories.
Is DAVID SAMUEL FEFFERMAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DAVID SAMUEL FEFFERMAN (M.D.) treat or focus on?
Patients typically see DAVID SAMUEL FEFFERMAN (M.D.) under the specialty Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DAVID SAMUEL FEFFERMAN (M.D.)?
The snapshot lists Stoneham, Massachusetts for DAVID SAMUEL FEFFERMAN (M.D.); download NPPES for the complete set.
What if Stoneham, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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