MR. SHANE THOMAS REILLY (PA-C) – Physician Assistant, NPI 1972010429
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. SHANE THOMAS REILLY (PA-C)
143 LONGWATER DR
NORWELL, MA 020611683
Phone:
Type: Mailing
103 PROVIDENCE HWY
EAST WALPOLE, MA 020321512
Phone: (781) 255-0500
Fax: (781) 255-0400
Type: Mailing
485 Granite St
Braintree, MA 02184
Phone: (781) 848-2273
Type: Location
103 Providence Hwy
East Walpole, MA 020321512
Phone: (781) 255-0500
Fax: (781) 255-0400
Type: Location
143 Longwater Dr
Norwell, MA 020611683
Phone: (781) 878-5200
Type: Location
55 FOGG RD
SOUTH WEYMOUTH, MA 021902455
Phone: (781) 624-8000
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: 2018-02-20
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 |
|---|---|---|---|---|
| I20180220001313 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 127 | 127 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 73 | 73 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 20 | 20 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 17 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 02061)
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