GARY MENDESE, MD, LLC
NPI 1194341362
Dermatology - Procedural Dermatology in Peabody, MA
About Gary Mendese, Md, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY MENDESE, MD, LLC (NPI 1194341362) is a healthcare organization registered as a procedural dermatology in Peabody, Massachusetts and active in the NPI registry since June 2020. The organization lists Gary Mendese, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Gary Mendese, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Gary Mendese, MD, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Gary Mendese, MD, LLC's NPI number?
The NPI number for Gary Mendese, MD, LLC is 1194341362. It was assigned to this organization in the NPPES registry on June 23, 2020.
Where is Gary Mendese, MD, LLC located?
Gary Mendese, MD, LLC is located at 23 Centennial Dr, Peabody, MA 01960. The listed phone number is (978) 531-7677.
What is Gary Mendese, MD, LLC's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.
Is Gary Mendese, MD, LLC enrolled in Medicare?
Yes. Gary Mendese, MD, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gary Mendese, MD, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Gary Mendese, MD, LLC, in Dermatology, Nurse Practitioner and Pathology. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Gary Mendese, MD, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Gary Mendese, MD, LLC 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 Gary Mendese, MD, LLC was last updated on June 23, 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.
# Gary Mendese, Md, Llc · NPI 1194341362
Procedural Dermatology organization in Peabody, Massachusetts. Organization record, active in the CMS NPPES registry since June 23, 2020.
## Identity
- **NPI:** 1194341362 (Entity type: Organization)
- **Enumerated:** June 23, 2020
- **Primary specialty:** Dermatology - Procedural Dermatology · taxonomy 207NS0135X
- **Organization subpart:** No
- **Authorized official:** Gary Mendese, PRESIDENT
## Practice location
- **Address:** 23 CENTENNIAL DR, Peabody, MA 01960-7901
- **Phone:** (978) 531-7677
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), Nurse Practitioner (2), Pathology (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1194341362) · Data from the CMS NPPES public registry.