SEACOAST ORTHOPEDIC ASSOC INC – Orthopaedic Surgery Physician, NPI 1366462616

SEACOAST ORTHOPEDIC ASSOC INC is a healthcare provider. based in Newburyport, Massachusetts. specializing in Orthopaedic Surgery Physician. The NPI Number for SEACOAST ORTHOPEDIC ASSOC INC is 1366462616

Main info

Organization
Name
SEACOAST ORTHOPEDIC ASSOC INC
NPI
1366462616
Phone
(978) 462-7555
Address
21 HIGHLAND AVE STE 16
Authorized Official
JENELLE LEBLANC OPERATIONS MANAGER
Enumeration Date
20 July 2006
Last Update Date
6 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for SEACOAST ORTHOPEDIC ASSOC INC

  • 21 HIGHLAND AVE STE 16

    NEWBURYPORT, MA 019503873

    Phone: (978) 462-7555

    Fax: (978) 462-9049

    Type: Mailing

  • 21, Highland Avenue, Newburyport, Essex County, Massachusetts, 01950, United States

    SUITE 16

    NEWBURYPORT, MA 019503872

    Phone: (978) 462-7555

    Fax: (978) 462-9049

    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: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-05-31 (8 days ago).

Enrollment records

2

Earliest due date

2026-05-31

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
O20100609000846OClinic/Group PracticeMATBD
O20100930050003OPhysician - Orthopedic/Orthopedic SurgeryMA2026-05-31

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 01950)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for SEACOAST ORTHOPEDIC ASSOC INC?
SEACOAST ORTHOPEDIC ASSOC INC — NPI 1366462616 — is the standard way to identify this listing.
Is SEACOAST ORTHOPEDIC ASSOC INC still practicing?
SEACOAST ORTHOPEDIC ASSOC INC is currently listed as active in the public NPI registry.
What is SEACOAST ORTHOPEDIC ASSOC INC's primary classification?
Orthopaedic Surgery Physician is the headline specialty for SEACOAST ORTHOPEDIC ASSOC INC here. Clinical services aligned with this taxonomy classification.
What address line appears for SEACOAST ORTHOPEDIC ASSOC INC?
SEACOAST ORTHOPEDIC ASSOC INC's geographic hint is Newburyport, Massachusetts in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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