FRECCERO MEDICAL ASSOCIATES PC
NPI 1124315056
Internal Medicine in Brockton, MA
About Freccero Medical Associates Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FRECCERO MEDICAL ASSOCIATES PC (NPI 1124315056) is a healthcare organization registered as an internal medicine in Brockton, Massachusetts and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Robyn Fay, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 10
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Freccero Medical Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Freccero Medical Associates PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 22D0681368
Freccero Medical Associates · Brockton, MAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Freccero Medical Associates PC's NPI number?
The NPI number for Freccero Medical Associates PC is 1124315056. It was assigned to this organization in the NPPES registry on June 29, 2011.
Where is Freccero Medical Associates PC located?
Freccero Medical Associates PC is located at 77 Byron Ave, Brockton, MA 02301. The listed phone number is (508) 583-7595.
What is Freccero Medical Associates PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Freccero Medical Associates PC enrolled in Medicare?
Yes. Freccero Medical Associates PC is registered in the Medicare PECOS enrollment system.
When is Freccero Medical Associates PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Freccero Medical Associates PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Freccero Medical Associates PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Freccero Medical Associates PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D0681368) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Freccero Medical Associates PC was last updated on June 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Freccero Medical Associates Pc · NPI 1124315056
Internal Medicine organization in Brockton, Massachusetts. Organization record, active in the CMS NPPES registry since June 29, 2011.
## Identity
- **NPI:** 1124315056 (Entity type: Organization)
- **Enumerated:** June 29, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Robyn Fay, DIRECTOR
## Practice location
- **Address:** 77 BYRON AVE, Brockton, MA 02301-4201
- **Phone:** (508) 583-7595 · **Fax:** (508) 559-2278
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Massachusetts, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2011
- **Other identifiers:** Other 0077646 (MA); Medicare PIN A21806 (MA); Other 0403406 (MA); and 7 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124315056) · Data from the CMS NPPES public registry.