KEVIN P CHARPENTIER (M.D.) – Surgery Physician, NPI 1720087919

KEVIN P CHARPENTIER (M.D.) is a healthcare provider. based in Brockton, Massachusetts. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 041519 (CT). The NPI Number for KEVIN P CHARPENTIER (M.D.) is 1720087919

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN P CHARPENTIER (M.D.)
NPI
1720087919
Phone
(508) 941-7885
Address
680 CENTRE ST
Enumeration Date
19 July 2005
Last Update Date
28 June 2019

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4012841212
Graduation Year
1996 (30 years ago)
PAC ID
2062413628
Group Practice PAC ID
4688661127
Professional Enrollment ID
I20070124000613
Address ID
RI028864336WA120XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,028 GENERAL SURGERY in MA

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Provider Addresses for KEVIN P CHARPENTIER (M.D.)

  • Signature Healthcare Brockton Hospital, 680, Centre Street, Brockton, Plymouth County, Massachusetts, 02302, United States

    BROCKTON, MA 023023308

    Phone: (508) 941-7885

    Fax: (508) 941-6337

    Type: Mailing

  • 2 Dudley St

    Suite 470

    Providence, RI 029053236

    Phone: (401) 444-5285

    Fax: (401) 444-3283

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2023-10-04 • Largest payer in this snapshot: Boston Scientific Corporation ($84).

Total Amount

$84

General + Research + Ownership

Payments

1

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-04

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: 2007-01-24

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
I20070124000613IGeneral SurgeryRITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02302)

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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: 4688661127View full group profile
NameSpecialtyState
Nurse PractitionerCT
Nurse PractitionerRI
-RI
Physician AssistantNJ
Physician AssistantRI
Internal Medicine, Pulmonary DiseaseRI
Radiation OncologyRI
-RI
Physician AssistantMA
Nurse PractitionerRI

Reviews

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Frequently asked questions

How do payers reference KEVIN P CHARPENTIER (M.D.)?
For KEVIN P CHARPENTIER (M.D.), use NPI 1720087919 as the unique 10-digit identifier.
Is KEVIN P CHARPENTIER (M.D.) still an active registrant?
KEVIN P CHARPENTIER (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to KEVIN P CHARPENTIER (M.D.)?
KEVIN P CHARPENTIER (M.D.)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KEVIN P CHARPENTIER (M.D.)?
Travel planning: use Brockton, Massachusetts as the reference point for KEVIN P CHARPENTIER (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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