TONY NGUYEN – Physician Assistant, NPI 1811581697
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
Provider Addresses for TONY NGUYEN
179 QUINCY ST STE 2
BROCKTON, MA 023022966
Phone: (508) 283-3154
Fax: (833) 450-5159
Type: Location
50 Boston St
lynn, MA 019042538
Phone: (781) 342-4191
Fax: (833) 450-5157
Type: Location
301 Columbia RD
Boston, MA 021213409
Phone: (617) 237-6838
Fax: (833) 450-5158
Type: Location
191-205 PARKINGWAY
QUINCY, MA 021695011
Phone: (617) 820-5968
Fax: (833) 471-5603
Type: Mailing
3135 32ND AVE N
SAINT PETERSBURG, FL 337132521
Phone: (727) 686-9277
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 $72.
Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.
Last reported payment date: 2024-03-18 • Largest payer in this snapshot: Penumbra, Inc. ($72).
Total Amount
$72
General + Research + Ownership
Payments
1
Total payment records
General Amount
$72
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $72 |
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: 2025-09-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20241007000603 | I | Physician Assistant | NY | TBD |
| I20250925002307 | 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.
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
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | KS | |
| Nurse Practitioner | MA | |
| Physician Assistant | CT | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Internal Medicine, Hospitalist, Infectious Disease | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA |
Reviews
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