DR. KEVIN RAYMOND GENDREAU M.D.
NPI 1023422607
Family Medicine - Obesity Medicine in Brockton, MA

Q: What is Kevin Gendreau's NPI number?

The NPI number for Kevin Gendreau is 1023422607. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Q: What is Kevin Gendreau's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Gendreau was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment

110 LIBERTY ST, BROCKTON, MA 02301(508) 894-0400(508) 565-0097 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 10, 2022, Feb 17, 2022, Nov 17, 2021 and 3 more (6 updates tracked since 2017).

On this page

About Dr. Kevin Raymond Gendreau M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN RAYMOND GENDREAU M.D. (NPI 1023422607) is an individual obesity medicine provider in Brockton, Massachusetts, licensed in Massachusetts (270162) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and maintains a secondary practice location in Fall River.

NPPES Registry Identity

NPI1023422607

Entity TypeIndividualMale

Primary Taxonomy207QB0002X

Provider Legal NameDR. KEVIN RAYMOND GENDREAUCredential: M.D.

Location Address110 LIBERTY STBrockton, MA 02301-5674

Mailing Address110 Liberty St Ste 180Brockton, MA 02301-5674 · (508) 894-0766 · Fax (508) 565-0097

Phone(508) 894-0400

Fax(508) 565-0097

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2014

Enumeration DateJune 11, 2014

Last NPPES UpdateMarch 10, 20226 updates tracked since enumeration

NPPES CertifiedMarch 10, 2022

✔ NPI 1023422607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QB0002X

License✔ Licensed in MA · 270162

Definition

A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD17833 (RI), 270162 (MA)

110 LIBERTY ST, Brockton, MA 02301

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Secondary Practice Location 1

Location 1300 Hanover St Ste 1FFall River, MA 02720-5451 · Phone (508) 973-8612 · Fax (508) 973-8615

Other Identifiers 1

Medicaid110118525AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Raymond Gendreau M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082903182

PECOS Enrollment IDI20170809000382

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kevin Gendreau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signature Healthcare Medical Group Inc

Same address

Internal Medicine

110 LIBERTY ST
Brockton, MA 02301

Reassigned Medicare billing, Massachusetts enrollment
409 clinicians in this Medicare group

NPI 1508804949 (508) 894-0400

Southcoast Physicians Group, Inc.

30 mi

Emergency Medicine

208 MILL RD
Fairhaven, MA 02719

Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
Also billed through NPI 1336137629 (Rhode Island)
1,144 clinicians in this Medicare group

NPI 1861830143 (855) 319-0518

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

288 services112 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

69 services53 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

51 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220052

Location680 Center StreetBrockton, MA 02302 · Plymouth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RICHARD DUONG PA-C

Physician Assistant