DR. KRISTIN J MACDOUGALL (MD) – Rheumatology Physician, NPI 1093000325
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,158 INTERNAL MEDICINE in RI
Provider Addresses for DR. KRISTIN J MACDOUGALL (MD)
407 EAST AVE
SUITE 250
PAWTUCKET, RI 028605290
Phone: (401) 351-2280
Fax: (401) 721-5709
Type: Location
315 E MIDDLE COUNTRY RD
SMITHTOWN, NY 117872829
Phone: (631) 360-7778
Fax: (631) 360-1546
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 394 Open Payments records for all available years, with a total value of $8,344.
Total Amount is formed as General ($8,344) + Research ($0) + Ownership ($0) = $8,344.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($1,486).
Total Amount
$8,344
General + Research + Ownership
Payments
394
Total payment records
General Amount
$8,344
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $1,486 |
| ABBVIE INC. | $1,325 |
| UCB, Inc. | $1,180 |
| Janssen Biotech, Inc. | $612 |
| Lilly USA, LLC | $350 |
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: 2020-06-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160901001800 | I | Internal Medicine | RI | TBD |
| I20200609001835 | I | Internal Medicine | NY | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 28,800 | 19 | $0 |
| J3262 | Injection, tocilizumab, 1 mg | 17,830 | 17 | $0 |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 7,975 | 52 | $0 |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 6,350 | 32 | $0 |
| J0897 | Injection, denosumab, 1 mg | 5,640 | 70 | $0 |
Insurance plans in this area (ZIP 02860)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | NY | |
| - | NY | |
| - | NY | |
| Rheumatology, Internal Medicine | NY | |
| R H E U M A T O L O G Y | NY | |
| R H E U M A T O L O G Y | NY | |
| R H E U M A T O L O G Y | NY | |
| R H E U M A T O L O G Y | NY | |
| Rheumatology, Internal Medicine | NY | |
| Rheumatology, Internal Medicine | NY |
Reviews
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