JUAN P. VERNON (MD) – Emergency Medicine Physician, NPI 1336196674
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
438 EMERGENCY MEDICINE in RI
Provider Addresses for JUAN P. VERNON (MD)
593 Eddy Street Samuels Bldg
Rhode Island Hospital
Providence, RI 02903
Phone: (401) 444-4247
Type: Location
8 HURTEAU RD
MILLVILLE, MA 015291780
Phone:
Type: Mailing
100 South St
Southbridge, MA 015504051
Phone: (508) 765-9771
Type: Location
40 Wright St
Palmer, MA 010691138
Phone: (413) 283-7651
Type: Location
Saint Vincent Hospital at Worcester Medical Center, 123, Summer Street, Lincoln Square, Belmont Hill, Worcester, Worcester County, Massachusetts, 01608, United States
WORCESTER, MA 016081216
Phone: (508) 363-6025
Type: Location
14, Balmoral Avenue, Providence, Providence County, Rhode Island, 02908, United States
PROVIDENCE, RI 029082202
Phone: (401) 444-4247
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2006-10-17
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 |
|---|---|---|---|---|
| I20061017000435 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 177 | 172 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 67 | 67 | $0 |
| 99291 | Critical care, first 30-74 minutes | 32 | 32 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 13 | 13 | $0 |
Insurance plans in this area (ZIP 02903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MA | |
| Family Practice, Hospitalist | MA | |
| Certified Registered Nurse Anesthetist (Crna) | CT | |
| A N E S T H E S I O L O G Y | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| - | IL | |
| Emergency Medicine | MA | |
| - | MA | |
| Diagnostic Radiology | NH | |
| Certified Registered Nurse Anesthetist (Crna) | MA |
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