PAUL KETRO (MD) – Family Medicine Physician, NPI 1851374110
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,900 FAMILY PRACTICE in MA
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Provider Addresses for PAUL KETRO (MD)
425, Revere Street, Revere, Suffolk County, Massachusetts, 02151, United States
ELL POND MEDICAL ASSOCIATES INC ATTN JUNE VINARD
REVERE, MA 021514543
Phone: (781) 286-1313
Fax: (781) 286-1098
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)
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: 2005-06-09
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 |
|---|---|---|---|---|
| I20050609000136 | I | Family Practice | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 309 | 124 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 34 | 34 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 13 | 13 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 13 | 13 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | 12 | $0 |
Insurance plans in this area (ZIP 02151)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MA | |
| - | MA | |
| P O D I A T R Y | MA | |
| P S Y C H I A T R Y | MA | |
| - | NY | |
| Internal Medicine | MD | |
| P O D I A T R Y | MA | |
| Clinical Social Worker | MA | |
| Clinical Social Worker | MA | |
| Nurse Practitioner | MA |
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