SHALYNN DOHERTY – Physician Assistant, NPI 1003435405
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHALYNN DOHERTY
2014 WASHINGTON ST
EFLERS CARDIOVASCULAR CENTER 2 WEST
BOSTON, MA 02462
Phone:
Type: Mailing
132 FARMERSVILLE RD
SANDWICH, MA 025632690
Phone: (774) 238-2522
Type: Mailing
55 FRUIT ST
BOSTON, MA 021142621
Phone: (617) 726-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,117.
Total Amount is formed as General ($1,117) + Research ($0) + Ownership ($0) = $1,117.
Last reported payment date: 2023-01-22 • Largest payer in this snapshot: Medtronic, Inc. ($1,117).
Total Amount
$1,117
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,117
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,117 |
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: 2021-07-29
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 |
|---|---|---|---|---|
| I20210729002972 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02462)
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