Individual provider Active NPI

Emily Breton, PAC

  • Physician Assistant
  • Marstons Mills, MA
National Provider Identifier
1679950125
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8110 Issued in MA
Practice address
3880 Falmouth Rd
Marstons Mills, MA 02648-1855
Phone
(508) 492-3200
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA8110 MA Primary

Addresses

Primary practice location

3880 Falmouth Rd
Marstons Mills, MA 02648-1855

Mailing address

3880 Falmouth Rd
Marstons Mills, MA 02648-1855
Phone (508) 492-3200

Other identifiers 1

IdentifierTypeStateIssuer
1125635OtherNCCPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915001576 MA Practitioner - Physician Assistant 0446561708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Contemporary Dermatology LLCGroup PAC ID 8628475647, 12 clinicians

Practice addresses (Care Compare)

3880 Falmouth Rd
Marstons Mills, MA 02648-1855
Phone (508) 492-3200

Merit-based Incentive Payment System (MIPS)

Final score
86.63 of 100Reported as group
Quality
84.27
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.07 of 100Reported as group
Quality
79.75
Improvement activities
40
Cost
80.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1679950125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 FALMOUTH RD",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "026481855",
            "telephone_number": "508-492-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 FALMOUTH RD",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "026481855",
            "telephone_number": "508-492-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETON",
        "first_name": "EMILY",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1125635",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marstons Mills, MA

Sources for this page

Verify at the official NPI Registry.