KATIE BROUILLARD O'BRIEN (NP) – Dermatology Physician, NPI 1801048921
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for KATIE BROUILLARD O'BRIEN (NP)
255 PARK AVE STE 509
WORCESTER, MA 016091989
Phone: (508) 890-5500
Fax: (508) 890-5505
Type: Location
36, Adams Street, Quincy, Norfolk County, Massachusetts, 02169, United States
QUINCY, MA 02169
Phone: (617) 773-9805
Fax: (617) 472-5400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $983.
Total Amount is formed as General ($983) + Research ($0) + Ownership ($0) = $983.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: ABBVIE INC. ($526).
Total Amount
$983
General + Research + Ownership
Payments
46
Total payment records
General Amount
$983
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $526 |
| Lilly USA, LLC | $107 |
| Janssen Biotech, Inc. | $99 |
| Amgen Inc. | $67 |
| Celgene Corporation | $63 |
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: 2008-11-19
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 |
|---|---|---|---|---|
| I20081119000312 | I | Nurse Practitioner | 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 | 776 | 138 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 397 | 333 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 222 | 194 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 126 | 118 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 95 | 86 | $0 |
Insurance plans in this area (ZIP 01609)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MA |
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