MAURA K GONCALO (PAC) – Physician Assistant, NPI 1770191009
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
774 PHYSICIAN ASSISTANT in RI
Provider Addresses for MAURA K GONCALO (PAC)
442 HIGHLAND RD
TIVERTON, RI 028784429
Phone: (401) 297-6669
Type: Mailing
1360 W MAIN RD
MIDDLETOWN, RI 028426301
Phone: (401) 606-3110
Type: Location
395 ATWOOD AVE
CRANSTON, RI 029204358
Phone: (401) 464-9751
Fax: (401) 464-9755
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $282.
Total Amount is formed as General ($282) + Research ($0) + Ownership ($0) = $282.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($156).
Total Amount
$282
General + Research + Ownership
Payments
5
Total payment records
General Amount
$282
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $156 |
| E.R. Squibb & Sons, L.L.C. | $127 |
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: 2020-10-28
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 |
|---|---|---|---|---|
| I20201028002371 | I | Physician Assistant | 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.
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 | 75 | 74 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 47 | 44 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 31 | 30 | $0 |
Insurance plans in this area (ZIP 02878)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Interventional Cardiology | RI | |
| Nurse Practitioner | RI | |
| Physician Assistant | PA | |
| Cardiac Electrophysiology | RI | |
| Cardiovascular Disease (Cardiology) | RI | |
| Nurse Practitioner | RI | |
| Cardiovascular Disease (Cardiology) | RI | |
| - | RI | |
| Cardiovascular Disease (Cardiology) | RI | |
| Cardiovascular Disease (Cardiology), Internal Medicine | RI |
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