David P Gannon Jr. (NPI# 1518966472, PAC ID# 4789678848) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1518966472 |
| PAC ID by PECOS | 4789678848 |
| Professional Enrollment ID | I20040413000343 |
| Full Name | David P Gannon Jr. |
| Organization Legal Name | CAPE COD PAIN MANAGEMENT, PC |
| Address |
68 N Main St Carver MA 02330-1128 |
| Phone Number | 5087477246 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1981 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE, INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 9638163785 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220060 | BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH |
| Address | Phone | Organization |
|---|---|---|
| 68 N Main St, Carver, MA 02330-1128 | 5087477246 | CAPE COD PAIN MANAGEMENT, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | CAPE COD PAIN MANAGEMENT, PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca M Hall | Nurse Practitioner | Cape Cod Pain Management, PC | 68 N Main St, Carver, MA 02330-1128 |
| Street Address |
68 N MAIN ST |
| City | CARVER |
| State | MA |
| Zip | 02330-1128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca M Hall | Nurse Practitioner | Cape Cod Pain Management, PC | 68 N Main St, Carver, MA 02330-1128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meghan Eckel | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 160 N Main St, Carver, MA 02330-1027 |
| Michael F Maloney | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 160 N Main St, Carver, MA 02330-1027 |
| Kristin W Taylor | Clinical Social Worker | 55 Wareham St, Carver, MA 02330-1716 |
| City | CARVER |
| Zip Code | 02330 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | CARVER + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on David P Gannon Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.