DR. NICHOLAS PAXSON GABINET (MD) – Surgery Physician, NPI 1073136636
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
147 GENERAL SURGERY in RI
Provider Addresses for DR. NICHOLAS PAXSON GABINET (MD)
593 EDDY ST
PROVIDENCE, RI 029034923
Phone: (401) 444-5180
Fax: (401) 444-6681
Type: Mailing
151 NARRAGANSETT AVE
JAMESTOWN, RI 028351147
Phone: (609) 651-5552
Type: Mailing
19 FRIENDSHIP ST UNIT 240
NEWPORT, RI 028402200
Phone: (401) 619-3930
Fax: (401) 619-3932
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-06-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250611002015 | I | General Surgery | RI | TBD |
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.
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 02903)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | RI | |
| General Surgery | RI | |
| General Surgery | RI | |
| Nurse Practitioner | RI | |
| Nurse Practitioner | RI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | RI | |
| - | RI | |
| Physician Assistant | RI | |
| General Surgery | RI | |
| General Surgery | RI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.