EAST POND ENTERPRISES INC
NPI 1659509164
Clinic/Center - Ambulatory Surgical in Carver, MA

Q: What is East Pond Enterprises Inc's NPI number?

The NPI number for East Pond Enterprises Inc is 1659509164. It was assigned to this organization in the NPPES registry on June 24, 2009.

Q: What is East Pond Enterprises Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since June 24, 2009CLIA 22D1105564 · Waiver

68 N MAIN ST, CARVER, MA 02330(508) 747-7246 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 24, 2024, Oct 29, 2019 (2 updates tracked since 2019).

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About East Pond Enterprises Inc NPPES

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

EAST POND ENTERPRISES INC (NPI 1659509164) is a healthcare organization registered as an ambulatory surgical in Carver, Massachusetts and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through March 14, 2027, maintains a secondary practice location in Plymouth, and lists David P Gannon, President, as its authorized official.

NPPES Registry Identity

NPI1659509164

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameEAST POND ENTERPRISES INC

Location Address68 N MAIN STCarver, MA 02330

Mailing Address68 N Main StCarver, MA 02330-1128 · (508) 747-7246

Phone(508) 747-7246

Organization SubpartNo

Authorized OfficialDavid P GannonPresident · (508) 747-7246

Enumeration DateJune 24, 2009

Last NPPES UpdateApril 24, 20242 updates tracked since enumeration

NPPES CertifiedApril 24, 2024

✔ NPI 1659509164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

68 N MAIN ST, Carver, MA 02330

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Secondary Practice Location 1

Location 140 Industrial ParkPlymouth, MA 02360-4884 · Phone (508) 747-7246

Other Identifiers 1

OtherHPHC-1659509164MA · Harvard Pilgrim

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

East Pond Enterprises Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to East Pond Enterprises Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

David Gannon, MD

Anesthesiology

NPI 1518966472

68 N MAIN ST
Carver, MA 02330

(508) 747-7246

✔ PECOS✔ Accepts MedicareSame address

Ian Rivera-Colon, MD

Anesthesiology

NPI 1982819801

535 FAUNCE CORNER RD
Dartmouth, MA 02747

(508) 996-3991

✔ PECOS19 mi

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 22D1105564

East Pond Enterprises · Carver, MA

Active · expires Mar 14, 2027

CLIA Number22D1105564

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 15, 2025

Certificate Expiration DateMarch 14, 2027

Laboratory DirectorDavid P. Gannon

Laboratory Phone(508) 747-7813

Laboratory LocationEast Pond Enterprises68 North Main Street, Carver, MA 02330

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

74 services30 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

34 services15 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

26 services20 patients

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 East Pond Enterprises Inc's NPI number?

The NPI number for East Pond Enterprises Inc is 1659509164. It was assigned to this organization in the NPPES registry on June 24, 2009.

Where is East Pond Enterprises Inc located?

East Pond Enterprises Inc is located at 68 N Main St, Carver, MA 02330. The listed phone number is (508) 747-7246.

What is East Pond Enterprises Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is East Pond Enterprises Inc enrolled in Medicare?

Yes. East Pond Enterprises Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Pond Enterprises Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Anesthesiology, reassign their Medicare billing to East Pond Enterprises Inc. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does East Pond Enterprises Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D1105564) is associated with this NPI, valid through March 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Pond Enterprises Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list East Pond Enterprises Inc 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 East Pond Enterprises Inc was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.