KRYSTAL J MASSEY (M.D.) – Dermatology Physician, NPI 1043630619

KRYSTAL J MASSEY (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 12756A (WY). The NPI Number for KRYSTAL J MASSEY (M.D.) is 1043630619

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTAL J MASSEY (M.D.)
NPI
1043630619
Phone
(617) 355-6000
Address
300 Longwood Ave
Enumeration Date
23 April 2014
Last Update Date
11 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
3076350226
Graduation Year
2014 (12 years ago)
PAC ID
5395078828
Group Practice PAC ID
4183772122
Professional Enrollment ID
I20200720001902
Address ID
WY820093446CH123XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

744 DERMATOLOGY in MA

Provider Addresses for KRYSTAL J MASSEY (M.D.)

  • 300 Longwood Ave

    Boston, MA 021155724

    Phone: (617) 355-6000

    Type: Location

  • 123 WESTERN HILLS BLVD

    CHEYENNE, WY 820093446

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $836.

Total Amount is formed as General ($836) + Research ($0) + Ownership ($0) = $836.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($493).

Total Amount

$836

General + Research + Ownership

Payments

70

Total payment records

General Amount

$836

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-07-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200720001902IDermatologyWYTBD

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.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity1,9211,038$0
99213Established patient office or other outpatient visit, 20-29 minutes488417$0
99214Established patient office or other outpatient visit, 30-39 minutes339267$0
17003Destruction of precancer skin growth, 2-14 growths261100$0
17000Destruction of precancer skin growth, 1 growth182168$0
View full utilization report →

Insurance plans in this area (ZIP 02115)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183772122View full group profile
NameSpecialtyState
Nurse PractitionerWY
D E R M A T O L O G YTX
Undefined Physician Type (Specify), DermatologyWY
Internal MedicineWY
-WY
Nurse PractitionerWY
Physician AssistantWY
Nurse PractitionerWY
Physician AssistantAZ
Physician AssistantWY

Reviews

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Frequently asked questions

Where can patients find KRYSTAL J MASSEY (M.D.)'s NPI?
You can confirm KRYSTAL J MASSEY (M.D.) with NPI 1043630619; it appears in the national provider directory.
Is KRYSTAL J MASSEY (M.D.) active in the national directory?
KRYSTAL J MASSEY (M.D.)'s public NPI profile is in an active state.
What kind of provider is KRYSTAL J MASSEY (M.D.)?
The page reflects Dermatology Physician for KRYSTAL J MASSEY (M.D.). Clinical services aligned with this taxonomy classification.
Where is KRYSTAL J MASSEY (M.D.)'s primary listing?
We display Boston, Massachusetts because that is what the record indicates for KRYSTAL J MASSEY (M.D.).
Is KRYSTAL J MASSEY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1043630619. Always confirm identity and privileges with the practice and licensing boards.

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