Edward Michael Dussom, MD
NPI 1053805457ActiveIndividual· Surgery· Brighton, MA
Surgery (MD) in Brighton, Massachusetts, trained at Louisiana State University School of Medicine in New Orleans (class of 2018). Enrolled in Medicare as practitioner - general surgery.
Overview
| NPI | 1053805457 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 19, 2018 |
| Last updated in NPPES | Jul 22, 2025 |
| Certified by provider | Jul 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 1016197 | MA |
| Surgery | 208600000X | 276408 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (MA) |
|---|
Education and affiliations
| Medical school | Louisiana State University School of Medicine in New Orleans |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | General Surgery |
Medical groups
- Bmc Affiliated Physicians, Inc.Brockton, MA · 564 clinicians
- Boston University General Surgical Associates, Inc.Boston, MA · 84 clinicians
Hospital affiliations
- Boston Medical CenterBoston, MA
- Boston Medical Center-BrightonBrighton, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Brighton
- 1962519371
- 1679368609
- 1013390731
- 1164368452
- 1750537130
- 1477938496
- 1699157941
- 1528417441
- 1457808578
- 1700450483
- 1558657825
- 1811513815