JOHN DERMOTT MCGONIGLE (M.D.) – Family Medicine Physician, NPI 1982717807
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
406 FAMILY PRACTICE in RI
Provider Addresses for JOHN DERMOTT MCGONIGLE (M.D.)
201 WATERMAN AVE
EAST PROVIDENCE, RI 029143522
Phone: (401) 572-3300
Fax: (401) 572-3301
Type: Location
Memorial Hospital of Rhode Island, 111, Brewster Street, Pawtucket, Providence County, Rhode Island, 02860, United States
FCC TEAM C
PAWTUCKET, RI 028604400
Phone: (401) 729-2769
Fax: (401) 729-2772
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2009-08-11
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 |
|---|---|---|---|---|
| I20090811000308 | I | Family Practice | 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 | 82 | 39 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 67 | 31 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 02914)
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