RENEE AVERSANO (MD) – Internal Medicine Physician, NPI 1962402255

RENEE AVERSANO (MD) is a healthcare provider. based in Watertown, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 77961 (MA). The NPI Number for RENEE AVERSANO (MD) is 1962402255

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
RENEE AVERSANO (MD)
NPI
1962402255
Phone
(617) 923-6071
Address
521 MOUNT AUBURN ST
Enumeration Date
28 July 2005
Last Update Date
4 April 2023

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
7746083700
Graduation Year
1988 (38 years ago)
PAC ID
5395716401
Group Practice PAC ID
4789588641
Professional Enrollment ID
I20040803000800
Address ID
MA023602677PL36XXXWAYX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

Provider Addresses for RENEE AVERSANO (MD)

  • 521, Mount Auburn Street, East Watertown, Watertown, Middlesex County, Massachusetts, 02472, United States

    STE 200

    WATERTOWN, MA 024724191

    Phone: (617) 923-6071

    Fax: (617) 923-6075

    Type: Mailing

  • 10 FORBES RD STE 190

    BRAINTREE, MA 021842622

    Phone: (781) 884-6300

    Fax: (781) 884-6305

    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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-10-18 • Largest payer in this snapshot: Abbott Laboratories ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$21
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: 2004-08-03

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
I20040803000800IInternal MedicineMATBD

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
36415Insertion of needle into vein for collection of blood sample5846$0
99213Established patient office or other outpatient visit, 20-29 minutes5842$0
99214Established patient office or other outpatient visit, 30-39 minutes3831$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month3516$0
80053Blood test, comprehensive group of blood chemicals3332$0
View full utilization report →

Insurance plans in this area (ZIP 02472)

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Provider's Procedures

RENEE AVERSANO (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMA85610Blood test, clotting time6711
INTERNAL MEDICINEMA90670Pneumococcal vaccine for injection into muscle1313

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: 4789588641View full group profile
NameSpecialtyState
-MA
Family PracticeMA
D E R M A T O L O G YMA
Emergency MedicineMA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Internal MedicineMA
O T O L A R Y N G O L O G YMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for RENEE AVERSANO (MD)?
RENEE AVERSANO (MD) — NPI 1962402255 — is the standard way to identify this listing.
Can I rely on RENEE AVERSANO (MD) being an active provider?
As of the registry snapshot, RENEE AVERSANO (MD) is marked active.
What healthcare role does RENEE AVERSANO (MD) hold?
Scheduling teams often label RENEE AVERSANO (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does RENEE AVERSANO (MD) list a practice location?
Patients near Watertown, Massachusetts may find RENEE AVERSANO (MD) in results; validate coverage separately.
Is the information about RENEE AVERSANO (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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