ADVANTAGE SURGICAL AND WOUND CARE MASSACHUSETTS PC
NPI 1164039152
Surgery in Revere, MA
About Advantage Surgical And Wound Care Massachusetts Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANTAGE SURGICAL AND WOUND CARE MASSACHUSETTS PC (NPI 1164039152) is a healthcare organization registered as a surgery in Revere, Massachusetts and active in the NPI registry since September 2020. The organization lists John Griffin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advantage Surgical And Wound Care Massachusetts Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Advantage Surgical And Wound Care Massachusetts PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently 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 Advantage Surgical And Wound Care Massachusetts PC's NPI number?
The NPI number for Advantage Surgical And Wound Care Massachusetts PC is 1164039152. It was assigned to this organization in the NPPES registry on September 24, 2020.
Where is Advantage Surgical And Wound Care Massachusetts PC located?
Advantage Surgical And Wound Care Massachusetts PC is located at 204 Proctor Ave, Revere, MA 02151. The listed phone number is (877) 878-3289.
What is Advantage Surgical And Wound Care Massachusetts PC's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Advantage Surgical And Wound Care Massachusetts PC enrolled in Medicare?
Yes. Advantage Surgical And Wound Care Massachusetts PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advantage Surgical And Wound Care Massachusetts PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Advantage Surgical And Wound Care Massachusetts 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. The largest specialties are Nurse Practitioner (5) and General Surgery (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Advantage Surgical And Wound Care Massachusetts PC accept?
Health plans from Anthem Blue Cross and Blue Shield list Advantage Surgical And Wound Care Massachusetts PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Advantage Surgical And Wound Care Massachusetts PC was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Advantage Surgical And Wound Care Massachusetts Pc · NPI 1164039152
Surgery organization in Revere, Massachusetts. Organization record, active in the CMS NPPES registry since September 24, 2020.
## Identity
- **NPI:** 1164039152 (Entity type: Organization)
- **Enumerated:** September 24, 2020
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** John Griffin, PRESIDENT
## Practice location
- **Address:** 204 PROCTOR AVE, Revere, MA 02151-4923
- **Phone:** (877) 878-3289 · **Fax:** (877) 817-3227
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), General Surgery (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1164039152) · Data from the CMS NPPES public registry.