Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Staci Gagne, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255694683

Staci Gagne, MD is a Diagnostic Radiology in Boston, Massachusetts. Graduated from University of Massachusetts Medical School in 2012, 14 years ago. Practices with Mass General Brigham Community Physicians Inc, a 422-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
14
Trained at
University of Massachusetts Medical School
Licensed in
MA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 643-3726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 270466 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 252762 (MA)

Record details

NPI number1255694683
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2012
Last updated in NPPESFebruary 20, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2012 (14 years in practice)
Group practice Mass General Brigham Community Physicians Inc — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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