GERALD T. MCGILLICUDDY (M.D.) – Neurological Surgery Physician, NPI 1932165891

GERALD T. MCGILLICUDDY (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in Neurological Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 50103 (MA). The NPI Number for GERALD T. MCGILLICUDDY (M.D.) is 1932165891

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
GERALD T. MCGILLICUDDY (M.D.)
NPI
1932165891
Phone
Not provided
Address
PO BOX 415348
Enumeration Date
20 April 2006
Last Update Date
26 October 2020

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5083348996
Graduation Year
1981 (45 years ago)
PAC ID
7517934284
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20040913000718

Contacts

FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Secure Messaging
gmcgillicuddy23270@UmassMemorial.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for GERALD T. MCGILLICUDDY (M.D.)

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone:

    Type: Mailing

  • 67, Belmont Street, Lincoln Square, Chandler Hill, Worcester, Worcester County, Massachusetts, 01605, United States

    WORCESTER, MA 016052657

    Phone: (508) 752-4336

    Fax: (508) 795-0407

    Type: Location

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: 2004-09-13

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
I20040913000718INeurosurgeryMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3529$0
99213Established patient office or other outpatient visit, 20-29 minutes2423$0
99203New patient office or other outpatient visit, 30-44 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 02241)

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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: 4284539891View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
-MA
-MA
Family PracticeMA
Physician AssistantMA
Pulmonary Disease, Critical Care (Intensivists), Allergy/ImmunologyMA
-MA
-MA
Internal MedicineMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

How do I look up GERALD T. MCGILLICUDDY (M.D.) by NPI?
Use NPI 1932165891 when you need to reference GERALD T. MCGILLICUDDY (M.D.) in forms, claims, or directories.
Is GERALD T. MCGILLICUDDY (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is GERALD T. MCGILLICUDDY (M.D.)?
The page reflects Neurological Surgery Physician for GERALD T. MCGILLICUDDY (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place GERALD T. MCGILLICUDDY (M.D.)?
The snapshot lists Boston, Massachusetts for GERALD T. MCGILLICUDDY (M.D.); download NPPES for the complete set.
What if Boston, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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