EAR, NOSE & THROAT ASSOCIATES OF WORCESTER, INC. – Otolaryngology Physician, NPI 1285620609
Otolaryngology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for EAR, NOSE & THROAT ASSOCIATES OF WORCESTER, INC.
PO BOX 60678
WORCESTER, MA 016060678
Phone: (508) 791-6305
Fax: (508) 791-6309
Type: Mailing
246 SOUTHBRIDGE RD
CHARLTON, MA 015075237
Phone: (508) 980-7074
Fax: (508) 434-0821
Type: Mailing
246, Southbridge Road, Charlton, Worcester County, Massachusetts, 01507, United States
CHARLTON, MA 015075237
Phone: (508) 980-7074
Fax: (508) 434-0821
Type: Location
145 Pomfret St
Putnam, CT 062601803
Phone: (860) 928-7330
Fax: (860) 928-1907
Type: Location
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: 2009-05-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-12-31 (158 days ago).
Enrollment records
2
Earliest due date
2025-12-31
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 |
|---|---|---|---|---|
| O20080917000152 | O | Clinic/Group Practice | MA | 2025-12-31 |
| O20090519000142 | O | Clinic/Group Practice | CT | TBD |
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.
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 01606)
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