DR. MATTHEW E TILEM MD
NPI 1033202353
Psychiatry & Neurology - Vascular Neurology in Burlington, MA


Quality Rating: 90.7 out of 100 score

NPI Status: Active since September 30, 2006

Contact Information

LAHEY CLINIC
41 MALL ROAD
BURLINGTON, MA
ZIP 01805
Phone: (781) 744-8000
Fax: (781) 744-5581

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  • Individual
  • Male
  • Years of Experience 26
  • Psychiatry & Neurology
  • Vascular Neurology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MATTHEW TILEM

This page provides the complete NPI Profile along with additional information for Matthew Tilem, a provider established in Burlington, Massachusetts with a medical specialization in Psychiatry & Neurology, focusing in vascular neurology and more than 26 years of experience. He graduated from Tufts University School Of Medicine in 2000. The healthcare provider is registered in the NPI registry with number 1033202353 assigned on September 2006. The practitioner's primary taxonomy code is 2084V0102X with license number 220524 (MA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1033202353
Provider Name
DR. MATTHEW E TILEM MD
Gender
Male
Entity Type
Individual
Location Address
LAHEY CLINIC 41 MALL ROAD BURLINGTON, MA 01805
Location Phone
(781) 744-8000
Location Fax
(781) 744-5581
Mailing Address
LAHEY CLINIC 41 MALL ROAD BURLINGTON, MA 01805
Mailing Phone
(781) 744-8000
Mailing Fax
(781) 744-5581
Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
09-30-2006
Last Update Date
02-16-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Vascular Neurology

Taxonomy Code
2084V0102X
Type
Allopathic & Osteopathic Physicians
License No.
220524
License State
MA
Taxonomy Description
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred Blue PPO 5000/10%/8000 w/HSA - PPO
  • Anthem Bronze Preferred Blue PPO 5000/20%/8000 w/HSA - PPO
  • Anthem Bronze Preferred Blue PPO 6500/30%/9200 Value - PPO
  • Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
  • Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
  • Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
  • Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
  • Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
  • Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
  • Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
  • Anthem Gold Preferred Blue PPO 3000/0%/5500 RxD - PPO
  • Anthem Gold Preferred Blue PPO 500/25%/7000 - PPO
  • Anthem Platinum Preferred Blue PPO 250/10%/3500 - PPO
  • Anthem Silver Preferred Blue PPO 2000/30%/9000 Value - PPO
  • Anthem Silver Preferred Blue PPO 3000/20%/8500 - PPO
  • Anthem Silver Preferred Blue PPO 3000/30%/9000 Value - PPO
  • Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA - PPO
  • Anthem Silver Preferred Blue PPO 4000/0%/8500 - PPO
  • Anthem Silver Preferred Blue PPO 4000/0%/8500 RxD - PPO
  • Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA - PPO
  • Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
  • Anthem Bronze Pathway X Enhanced 6500/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
  • Anthem Catastrophic Pathway X Enhanced 9200/0% - HMO
  • Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Gold Pathway X Enhanced 1500/25% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
  • Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway X Enhanced 6000/30% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
  • Anthem Silver Pathway X Enhanced 5000/40% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
  • Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Pathway X HMO 6500/30%/9200 Value - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A37044MEDICARE ID-TYPE UNSPECIFIED (04)MA 
I09497MEDICARE UPIN (02)MA 
110038245AMEDICAID (05)MA 

Medicare Participation & PECOS Enrollment Status

Matthew Tilem is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Matthew Tilem is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2567432289

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040729001057

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)

    2 DME suppliers used 13 Medicare Claims 13 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    1 DME suppliers used 17 Medicare Claims 17 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 36 times for 36 patients

Emergency department visit for life threatening or functioning severity

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 15 times for 15 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 19 times for 19 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 91 times for 83 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 164 times for 134 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 147 times for 72 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 36 times for 36 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 38 times for 38 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 33 times for 33 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 59 times for 59 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $36.02 for a new patient copayment and $27.79 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 01805 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $144.11
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $36.02
  • Minimum New Patient Copayment $15.93
  • Maximum New Patient Copayment $47.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $111.18
  • Minimum Established Patient Price $21.07
  • Maximum Established Patient Price $155.29
  • Average Established Patient Copayment $27.79
  • Minimum Established Patient Copayment $5.26
  • Maximum Established Patient Copayment $38.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 90.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 90.7 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 76.53

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Matthew Tilem is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NORTHEAST HOSPITAL CORPORATION85 HERRICK STREET
BEVERLY, MA 01915
(978) 922-3000Acute Care Hospitals
LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON41 & 45 MALL ROAD
BURLINGTON, MA 01803
(781) 744-5100Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033202353
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063404310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 4 + 0 + 4 + 3 + 1 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1033202353 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568455350 JULIE L JONES NP
Individual
Nurse PractitionerLAHEY CLINIC 41 MALL ROAD
BURLINGTON, MA 01805
(781) 744-8000
1265427181 PAUL J. HESKETH MD
Individual
Internal Medicine (Hematology & Oncology)LAHEY CLINIC 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8400
1922095629 MARCIA GUERRA CHWALEK NP
Individual
Nurse PractitionerLAHEY CLINIC 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8680
1437131000DR. EDWARD C DOW MD
Individual
Internal Medicine (Hematology & Oncology)LAHEY CLINIC 41 MALL RD
BURLINGTON, MA 01805
(781) 744-8400
1932182102 MOHAMED ADEL HAMID M.D.
Individual
Obstetrics & GynecologyLAHEY CLINIC 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8560
1376527630DR. JEFFREY T KLENZ M.D.
Individual
Internal Medicine (Pulmonary Disease)LAHEY CLINIC 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8480
1477527919DR. LAWRENCE M FRANOWICZ M.D.
Individual
AnesthesiologyLAHEY CLINIC 41 MALL ROAD
BURLINGTON, MA 01805
(781) 744-8132
1629032511 ERIC W HORTON PA
Individual
Physician AssistantLAHEY CLINIC 41 MALL RD
BURLINGTON, MA 01805
(781) 744-8154
1881651099 MARTEN H WOLCKENHAAR M.D.
Individual
AnesthesiologyLAHEY CLINIC 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8132
1407814478 JAHNAVI P PASTORE M.D.
Individual
Radiology (Diagnostic Radiology)LAHEY CLINIC 41 MALL ROAD
BURLINGTON, MA 01805
(781) 744-8170
1790743532DR. BERNARD M BETTENCOURT JR. D.O.
Individual
Emergency MedicineLAHEY CLINIC 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8100
1053362129DR. VINCENT AGNELLO M.D.
Individual
SpecialistLAHEY CLINIC 41 MALL RD
BURLINGTON, MA 01805
(781) 273-8887
1033153176DR. JONATHAN S. SILVER M.D.
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)LAHEY CLINIC 41 MALL ROAD
BURLINGTON, MA 01805
(781) 744-8460
1215957154MS. PATRICIA A STUDENT CNS
Individual
Nurse Practitioner (Psychiatric/Mental Health)LAHEY CLINIC 41 MALL ROAD
BURLINGTON, MA 01805
(781) 744-8869
1104847540DR. EVA PIESSENS MD
Individual
Internal Medicine (Infectious Disease)LAHEY CLINIC 41 MALL ROAD
BURLINGTON, MA 01805
(781) 744-8608
1154342202 ELAYNE LEPES LICSW
Individual
Social Worker (Clinical)LAHEY CLINIC 41 MALL ROAD
BURLINGTON, MA 01805
(781) 744-8869
1225059371 SHEILA LEVENSELER CNS
Individual
Nurse Practitioner (Psychiatric/Mental Health)LAHEY CLINIC 41 MALL ROAD
BURLINGTON, MA 01805
(781) 744-8869
1396766648DR. DONALD CRAVEN MD
Individual
Internal Medicine (Infectious Disease)LAHEY CLINIC 41 MALL ROAD
BURLINGTON, MA 01805
(781) 744-8608
1821019019DR. LOREN DRIBINSKY MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)LAHEY CLINIC 41 MALL ROAD
BURLINGTON, MA 01805
(781) 744-8869
1639191216DR. STACEY LYNN SLAVKIN PHD
Individual
Psychologist (Clinical)LAHEY CLINIC 41 MALL ROAD
BURLINGTON, MA 01805
(781) 744-8869

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033202353, enumerated in the NPI registry as an "individual" on September 30, 2006

The provider is located at Lahey Clinic 41 Mall Road Burlington, Ma 01805 and the phone number is (781) 744-8000

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084V0102X with a focus in Vascular Neurology

The provider has more than 26 years of experience. He graduated from Tufts University School Of Medicine in 2000.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $144.11 with an average copayment of $36.02 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Hospital discharge day management, more than 30 minutes, Initial hospital inpatient care per day, typically 70 minutes, New patient office or other outpatient visit, 45-59 minutes and New patient office or other outpatient visit, 60-74 minutes.

The practitioner is affiliated to the following hospital(s): NORTHEAST HOSPITAL CORPORATION and LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.