CAPE COD PAIN MANAGEMENT, PC – Interventional Pain Medicine Physician, NPI 1073566410

CAPE COD PAIN MANAGEMENT, PC is a healthcare provider. based in Carver, Massachusetts. specializing in Interventional Pain Medicine Physician. The NPI Number for CAPE COD PAIN MANAGEMENT, PC is 1073566410

Main info

Organization
Name
CAPE COD PAIN MANAGEMENT, PC
NPI
1073566410
Phone
(508) 747-7246
Address
68 N Main St
Authorized Official
DR. DAVID GANNON PRESIDENT MD
Enumeration Date
18 May 2006
Last Update Date
24 April 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:20State licenses:0Digital endpointsOther names

Provider Addresses for CAPE COD PAIN MANAGEMENT, PC

  • 68 N Main St

    Carver, MA 02330

    Phone: (508) 747-7246

    Fax: (508) 747-7256

    Type: Location

  • 68, North Main Street, North Carver, Carver, Plymouth County, Massachusetts, 02330, United States

    CARVER, MA 023301128

    Phone: (508) 747-7246

    Fax: (508) 747-7256

    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: 2004-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-08-31 (649 days ago).

Enrollment records

1

Earliest due date

2024-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040412001141OClinic/Group PracticeMA2024-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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 02330)

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Reviews

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Frequently asked questions

How do payers reference CAPE COD PAIN MANAGEMENT, PC?
For CAPE COD PAIN MANAGEMENT, PC, use NPI 1073566410 as the unique 10-digit identifier.
Is there an active status for CAPE COD PAIN MANAGEMENT, PC?
For scheduling context, CAPE COD PAIN MANAGEMENT, PC is shown as active in the registry.
What expertise is attributed to CAPE COD PAIN MANAGEMENT, PC?
CAPE COD PAIN MANAGEMENT, PC's specialty line reads Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CAPE COD PAIN MANAGEMENT, PC?
Travel planning: use Carver, Massachusetts as the reference point for CAPE COD PAIN MANAGEMENT, PC, then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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