DR. JAMES PHILLIP RATHMELL (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1093782377
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
38 INTERVENTIONAL PAIN MANAGEMENT in MA
Loading map...
Provider Addresses for DR. JAMES PHILLIP RATHMELL (M.D.)
139 WOODS HOLLOW RD
ESSEX JUNCTION, VT 054522663
Phone: (802) 872-0796
Type: Mailing
Brigham and Women's Hospital, 75, Francis Street, Roxbury, Boston, Suffolk County, Massachusetts, 02115, United States
BOSTON, MA 021156110
Phone: (617) 732-8210
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2006-07-07
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 |
|---|---|---|---|---|
| I20060707000114 | I | Interventional Pain Management | 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 |
|---|---|---|---|---|
| 00790 | Anesthesia for other procedure on upper abdomen | 12 | 12 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 12 | 12 | $0 |
Insurance plans in this area (ZIP 05452)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | MD | |
| - | MA | |
| Critical Care (Intensivists), Pulmonary Disease | FL | |
| Physician Assistant | MA | |
| N E U R O L O G Y | MA | |
| Nurse Practitioner | MA | |
| Orthopedic Surgery | MA | |
| Physician Assistant | NH | |
| Nurse Practitioner | MA | |
| P A T H O L O G Y | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.