JOHN EASTMAN – Physician Assistant, NPI 1720608912

JOHN EASTMAN is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA7499 (MA). The NPI Number for JOHN EASTMAN is 1720608912

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JOHN EASTMAN
NPI
1720608912
Phone
(781) 475-4736
Address
243B SAVIN HILL AVE
Enumeration Date
17 April 2020
Last Update Date
15 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6174694000
Graduation Year
2020 (6 years ago)
PAC ID
7113338922
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20201201000177
Address ID
MA021321901WE1832XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for JOHN EASTMAN

  • 243B SAVIN HILL AVE

    BOSTON, MA 021251003

    Phone: (781) 475-4736

    Type: Location

  • 1832 Centre St

    West Roxbury, MA 021321901

    Phone: (617) 469-4000

    Type: Location

  • 100 Everett Ave # 16C

    Chelsea, MA 021502309

    Phone: (617) 887-4600

    Type: Location

  • 143 Longwater Dr

    Norwell, MA 020611683

    Phone: (781) 624-8000

    Type: Location

  • 184 ELM ST APT 3

    QUINCY, MA 021695515

    Phone: (781) 475-4736

    Type: Mailing

  • 1337 HYDE PARK AVE

    HYDE PARK, MA 021362713

    Phone: (617) 364-9880

    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: 2020-12-01

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
I20201201000177IPhysician AssistantMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes261208$0
99214Established patient office or other outpatient visit, 30-39 minutes7658$0
99212Established patient office or other outpatient visit, 10-19 minutes5751$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing3633$0
G0008Administration of influenza virus vaccine1515$0
View full utilization report →

Insurance plans in this area (ZIP 02125)

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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: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

How do payers reference JOHN EASTMAN?
For JOHN EASTMAN, use NPI 1720608912 as the unique 10-digit identifier.
Would JOHN EASTMAN appear as active to a payer?
You can treat JOHN EASTMAN as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JOHN EASTMAN?
JOHN EASTMAN is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN EASTMAN?
Travel planning: use Boston, Massachusetts as the reference point for JOHN EASTMAN, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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