DR. FRANCIS ANTHONY GAROFALO (M.D.) – Urology Physician, NPI 1821095365
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
365 UROLOGY in MA
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Provider Addresses for DR. FRANCIS ANTHONY GAROFALO (M.D.)
250, Green Street, Gardner, Worcester County, Massachusetts, 01440, United States
SUITE 210
GARDNER, MA 014401396
Phone: (978) 669-5522
Fax: (978) 669-5521
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $1,728.
Total Amount is formed as General ($1,728) + Research ($0) + Ownership ($0) = $1,728.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Astellas Pharma US Inc ($619).
Total Amount
$1,728
General + Research + Ownership
Payments
61
Total payment records
General Amount
$1,728
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-04-22
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 |
|---|---|---|---|---|
| I20090422000084 | I | Urology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 302 | 248 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 86 | 86 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 72 | 58 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 47 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 48 | 46 | $0 |
Insurance plans in this area (ZIP 01440)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Physician Assistant | MA | |
| Nurse Practitioner | NH | |
| Internal Medicine, Sports Medicine | MA | |
| G A S T R O E N T E R O L O G Y | MA | |
| Family Practice, Obstetrics/Gynecology | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| - | MA |
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