CHARLES SAMUEL COHEN (PA-C) – Physician Assistant, NPI 1891034559

CHARLES SAMUEL COHEN (PA-C) is a healthcare provider. based in Quincy, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA4614 (MA). The NPI Number for CHARLES SAMUEL COHEN (PA-C) is 1891034559

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES SAMUEL COHEN (PA-C)
NPI
1891034559
Phone
(617) 472-6764
Address
500 Congress Street
Enumeration Date
31 January 2013
Last Update Date
1 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2077065030
Graduation Year
2012 (14 years ago)
PAC ID
8527209477
Group Practice PAC ID
9133481450
Professional Enrollment ID
I20180315000015
Address ID
ME048566107RO195XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for CHARLES SAMUEL COHEN (PA-C)

  • 500 Congress Street

    Suite B1

    Quincy, MA 02169

    Phone: (617) 472-6764

    Fax: (617) 770-9933

    Type: Location

  • 195 UNION ST

    ROCKPORT, ME 048566107

    Phone: (207) 706-5030

    Fax: (877) 343-6641

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: ABBVIE INC. ($48).

Total Amount

$139

General + Research + Ownership

Payments

6

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-03-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130719000058IPhysician AssistantMATBD
I20180315000015IPhysician AssistantMETBD

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
17003Destruction of precancer skin growth, 2-14 growths31169$0
11102Biopsy of related skin growth, first growth124103$0
99213Established patient office or other outpatient visit, 20-29 minutes10581$0
17000Destruction of precancer skin growth, 1 growth10588$0
11103Biopsy of related skin growth, each additional growth9157$0
View full utilization report →

Insurance plans in this area (ZIP 02169)

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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: 9133481450View full group profile
NameSpecialtyState
Nurse PractitionerME
D E R M A T O L O G YFL
D E R M A T O L O G YME
Physician AssistantME

Reviews

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Frequently asked questions

How do payers reference CHARLES SAMUEL COHEN (PA-C)?
For CHARLES SAMUEL COHEN (PA-C), use NPI 1891034559 as the unique 10-digit identifier.
Is there an active status for CHARLES SAMUEL COHEN (PA-C)?
For scheduling context, CHARLES SAMUEL COHEN (PA-C) is shown as active in the registry.
What kind of doctor is CHARLES SAMUEL COHEN (PA-C)?
CHARLES SAMUEL COHEN (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Massachusetts is CHARLES SAMUEL COHEN (PA-C) registered?
Use Quincy, Massachusetts as the headline location for CHARLES SAMUEL COHEN (PA-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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