DR. MICHAEL DEAN MEDLOCK (MD) – Addiction Medicine (Preventive Medicine) Physician, NPI 1902887185

DR. MICHAEL DEAN MEDLOCK (MD) is a healthcare provider. based in Salem, Massachusetts. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. 79690 (MA). The NPI Number for DR. MICHAEL DEAN MEDLOCK (MD) is 1902887185

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL DEAN MEDLOCK (MD)
NPI
1902887185
Phone
(978) 744-8388
Address
27 CONGRESS ST STE 513
Enumeration Date
7 November 2005
Last Update Date
18 November 2022

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9787742555
Graduation Year
1984 (42 years ago)
PAC ID
4880684109
Group Practice PAC ID
0042533218
Professional Enrollment ID
I20040517001313
Address ID
MA019492446MI147XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

223 NEUROSURGERY in MA

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Provider Addresses for DR. MICHAEL DEAN MEDLOCK (MD)

  • Congress Street, Salem, Essex County, Massachusetts, 01970-3980, United States

    SALEM, MA 019705523

    Phone: (978) 744-8388

    Type: Mailing

  • 43 TURNING MILL RD

    LEXINGTON, MA 024201319

    Phone: (617) 833-8928

    Type: Mailing

  • 47, Congress Street, South Salem, Salem, Essex County, Massachusetts, 01970, United States

    SALEM, MA 01970

    Phone: (978) 744-8388

    Type: Location

  • 4 Centennial Dr

    North Shore Neurosurgery and Spine

    Peabody, MA 019607935

    Phone: (978) 977-0586

    Fax: (978) 977-0905

    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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2004-05-17

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040517001313INeurosurgeryMATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes5822$0
99214Established patient office or other outpatient visit, 30-39 minutes3013$0
View full utilization report →

Insurance plans in this area (ZIP 01970)

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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: 0042533218View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Physician AssistantMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the standard ID for DR. MICHAEL DEAN MEDLOCK (MD) in the U.S.?
In the U.S., DR. MICHAEL DEAN MEDLOCK (MD) is identified by NPI 1902887185.
Is DR. MICHAEL DEAN MEDLOCK (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. MICHAEL DEAN MEDLOCK (MD) as active.
What does the directory say DR. MICHAEL DEAN MEDLOCK (MD) does?
Insurance directories may phrase it differently, but here DR. MICHAEL DEAN MEDLOCK (MD) maps to Addiction Medicine (Preventive Medicine) Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MICHAEL DEAN MEDLOCK (MD) in Salem, Massachusetts?
For routing, start with Salem, Massachusetts for DR. MICHAEL DEAN MEDLOCK (MD), then verify phone and hours locally.
Why is information missing for DR. MICHAEL DEAN MEDLOCK (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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