MR. BRIAN R THEROUX (PA) – Medical Physician Assistant, NPI 1275546277
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
773 PHYSICIAN ASSISTANT in RI
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Provider Addresses for MR. BRIAN R THEROUX (PA)
1672, South County Trail, Frys Corner, East Greenwich, Kent County, Rhode Island, 02818, United States
STE. 301
E GREENWICH, RI 028185098
Phone: (401) 885-7546
Fax: (401) 885-5465
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $238.
Total Amount is formed as General ($238) + Research ($0) + Ownership ($0) = $238.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: LEO Pharma Inc. ($134).
Total Amount
$238
General + Research + Ownership
Payments
11
Total payment records
General Amount
$238
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-06-22
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 |
|---|---|---|---|---|
| I20050208000085 | I | Physician Assistant | RI | TBD |
| I20180622001720 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 786 | 673 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 662 | 194 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 336 | 285 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 107 | 105 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 97 | 97 | $0 |
Insurance plans in this area (ZIP 02818)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | RI | |
| D E R M A T O L O G Y | KS | |
| Nurse Practitioner | MA | |
| D E R M A T O L O G Y | OH | |
| Nurse Practitioner | MA | |
| D E R M A T O L O G Y | RI | |
| Physician Assistant | NH | |
| D E R M A T O L O G Y | RI | |
| D E R M A T O L O G Y | RI | |
| D E R M A T O L O G Y | MA |
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