DR. BRIAN THOMAS REILLY (MD) – Otolaryngology Physician, NPI 1992321293

DR. BRIAN THOMAS REILLY (MD) is a healthcare provider. based in Pembroke, Massachusetts. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. MT220246 (PA). The NPI Number for DR. BRIAN THOMAS REILLY (MD) is 1992321293

Main info

Male
Accepts Medicare Assignment
Name
DR. BRIAN THOMAS REILLY (MD)
NPI
1992321293
Phone
(781) 853-9849
Address
35 MIRAMESA DR
Enumeration Date
23 June 2020
Last Update Date
23 June 2020

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6173541010
Graduation Year
null (2026 years ago)
PAC ID
8527481464
Group Practice PAC ID
6406956853
Professional Enrollment ID
I20250804000595
Address ID
MA021385665CA300XXSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

641 OTOLARYNGOLOGY in PA

Provider Addresses for DR. BRIAN THOMAS REILLY (MD)

  • 35 MIRAMESA DR

    PEMBROKE, MA 023592834

    Phone: (781) 853-9849

    Type: Mailing

  • 3401 N BROAD ST

    PHILADELPHIA, PA 191405189

    Phone: (215) 707-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $846.

Total Amount is formed as General ($846) + Research ($0) + Ownership ($0) = $846.

Last reported payment date: 2024-04-27 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($590).

Total Amount

$846

General + Research + Ownership

Payments

4

Total payment records

General Amount

$846

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-27

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2025-08-04

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
I20250804000595IOtolaryngologyMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02359)

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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: 6406956853View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA
Physician AssistantMA

Reviews

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Frequently asked questions

Does DR. BRIAN THOMAS REILLY (MD) have a public NPI I can cite?
Public records show DR. BRIAN THOMAS REILLY (MD) under NPI 1992321293.
Is DR. BRIAN THOMAS REILLY (MD)'s NPI status active today?
Active status means DR. BRIAN THOMAS REILLY (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. BRIAN THOMAS REILLY (MD)?
NPPES ties DR. BRIAN THOMAS REILLY (MD) to Otolaryngology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. BRIAN THOMAS REILLY (MD) tied to Pembroke, Massachusetts?
If you are local to Pembroke, Massachusetts, DR. BRIAN THOMAS REILLY (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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