Gary Wayne Mendese, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

240786 Issued in MA

Practice address

99 Conifer Hill Dr
Danvers, MA 01923-1193

Phone

(978) 774-2555

Fax

(978) 774-8715

NPI assigned

May 13, 2008

Last updated

Jan 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

University of Massachusetts Medical School, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Middleton Family Medicine Urgent Care LLCGroup PAC ID 0042533218, 74 clinicians

Gary Mendese MD LLCGroup PAC ID 8123431210, 3 clinicians

Dermatology and Skin Health LLCGroup PAC ID 8527439876, 3 clinicians

Campbell Dermatology PAGroup PAC ID 9537154059, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
• North Shore Medical Center - Hospital, Salem, MA, CCN 220035

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gary.mendese.1@9808.direct.athenahealth.com
• Direct secure messaging: mendese.gary.impns@direct.partners.masshiway.net

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

• Dermatology and Skin Health LLC

  • Dermatology Physician
  • Peabody, MA
  • NPI 1184341562
  Medicare reassignment Care Compare group NPD Authorized official
• Gary Mendese, MD, LLC

  • Procedural Dermatology Physician
  • Peabody, MA
  • NPI 1194341362
  Medicare reassignment Care Compare group NPD Authorized official
• Middleton Family Medicine Urgent Care, LLC

  • Clinic/Center
  • Middleton, MA
  • NPI 1902215106
  Medicare reassignment Care Compare group NPD
• Campbell Dermatology PA

  • Dermatology Physician
  • Dover, NH
  • NPI 1144376997
  Medicare reassignment Care Compare group NPD
• BD & L Provider LLC

  • Dermatology Physician
  • Boston, MA
  • NPI 1629209234
  Medicare reassignment NPD
• Internal Medicine Physicians of the North Shore LLC

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1851498166
  Medicare reassignment NPD
• Krauss Dermatology PC

  • Dermatology Physician
  • Wellesley, MA
  • NPI 1962524629
  Medicare reassignment NPD
• North Shore Gynecology, PC

  • Gynecology Physician
  • Peabody, MA
  • NPI 1184913469
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Shore Medical Center, Inc.

  dba Salem Hospital

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633
  Care Compare affiliation
• Northeast Hospital Corporation

  • General Acute Care Hospital
  • Beverly, MA
  • NPI 1316917941
  Care Compare affiliation
• Northeast Hospital Corporation

  • Psychiatric Hospital Unit
  • Beverly, MA
  • NPI 1407827710
  Care Compare affiliation

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1780851386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 S MAIN ST",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019492446",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CONIFER HILL DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231193",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 S Main St",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "MA",
            "postal_code": "019492446",
            "country_code": "US",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Centennial Dr",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019607901",
            "country_code": "US",
            "telephone_number": "978-525-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDESE",
        "first_name": "GARY",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "240786",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "240786",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MA",
            "license": "240786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• MOHS-Micrographic Surgery Physician in Danvers, MA
• Providers in Danvers, MA by specialty
• MOHS-Micrographic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.