DR. MARK ANTHONY GENDREAU M.D.
NPI 1184666315
Emergency Medicine in Burlington, MA


Quality Rating: 90.7 out of 100 score

NPI Status: Active since June 12, 2006

Contact Information

LAHEY HOSPITAL & MEDICAL CTR
41 MALL RD
BURLINGTON, MA
ZIP 01805
Phone: (978) 538-4600
Fax: (978) 538-4707

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  • Individual
  • Male
  • Emergency Medicine
  • PECOS Enrolled

About MARK GENDREAU

This page provides the complete NPI Profile along with additional information for Mark Gendreau, a provider established in Burlington, Massachusetts with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1184666315 assigned on June 2006. The practitioner's primary taxonomy code is 207P00000X with license number 153777 (MA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1184666315
Provider Name
DR. MARK ANTHONY GENDREAU M.D.
Gender
Male
Entity Type
Individual
Location Address
LAHEY HOSPITAL & MEDICAL CTR 41 MALL RD BURLINGTON, MA 01805
Location Phone
(978) 538-4600
Location Fax
(978) 538-4707
Mailing Address
LAHEY HOSPITAL & MEDICAL CTR 41 MALL RD BURLINGTON, MA 01805
Mailing Phone
(978) 538-4600
Mailing Fax
(978) 538-4707
Is Sole Proprietor?
No
Enumeration Date
06-12-2006
Last Update Date
10-23-2014
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
153777
License State
MA
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Insurance Plans Accepted

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

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
A2314501MEDICARE PIN (08)MA 
110003958AMEDICAID (05)MA 

Medicare Participation & PECOS Enrollment Status

Mark Gendreau 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

  • 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

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.

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 26 times for 26 patients

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 13 times for 13 patients

Physician Visit Costs

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 99203

  • Average New Patient Price $97.64
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $24.41
  • 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.

Reviews for DR. MARK ANTHONY GENDREAU M.D.

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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.
1184666315
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211641261232
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 2 + 6 + 1 + 2 + 3 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1184666315 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134274251MR. TIMOTHY PAUL MCGRATH N.P.
Individual
Nurse Practitioner (Gerontology)LAHEY HOSPITAL & MEDICAL CTR 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-7000
1285083725 JOSEPH R ACKERMAN LICSW
Individual
Social Worker (Clinical)LAHEY HOSPITAL & MEDICAL CTR 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-5100
1477903508 LISA CARLSON-HILL
Individual
Social Worker (Clinical)LAHEY HOSPITAL & MEDICAL CTR 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8013
1962852004 JAYNE KRASLIN
Individual
Social Worker (Clinical)LAHEY HOSPITAL & MEDICAL CTR 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8013
1568813376 MERLE KUSHNER LICSW
Individual
Social Worker (Clinical)LAHEY HOSPITAL & MEDICAL CTR 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8013
1083065890 SUSAN LADD MSW
Individual
Social WorkerLAHEY HOSPITAL & MEDICAL CTR 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8013
1225489032 JENNIFER VANDERLINDEN LICSW
Individual
Social Worker (Clinical)LAHEY HOSPITAL & MEDICAL CTR 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8013
1295186732 NANCY PORTER LICSW
Individual
Social Worker (Clinical)LAHEY HOSPITAL & MEDICAL CTR 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8013
1780975177 JESSICA CARLY SOPHIA MINTZ D.O.
Individual
Internal Medicine (Cardiovascular Disease)LAHEY HOSPITAL & MEDICAL CTR 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8460
1750524278DR. ALEXANDER PANDA M.D.
Individual
Internal Medicine (Critical Care Medicine)LAHEY HOSPITAL & MEDICAL CTR 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8480
1205132990 DANIEL VARDEH M.D.
Individual
Psychiatry & Neurology (Pain Medicine)LAHEY HOSPITAL & MEDICAL CTR 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8000
1043478241DR. AMANDA G POWELL MD
Individual
Internal Medicine (Obesity Medicine)LAHEY HOSPITAL & MEDICAL CTR 50 MALL RD. G03
BURLINGTON, MA 01805
(855) 934-4488
1396772679DR. SUSAN ALICIA HILBURN M.D.
Individual
Internal Medicine (Hospice and Palliative Medicine)LAHEY HOSPITAL & MEDICAL CTR 41 MALL ROAD
BURLINGTON, MA 01805
(781) 744-3839
1780627505DR. MEREDITH MATTISON PACE M.D.
Individual
AnesthesiologyLAHEY HOSPITAL & MEDICAL CTR 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-8132
1215112867 ANDREEA GOLDBERGER M.D.
Individual
Internal MedicineLAHEY HOSPITAL & MEDICAL CTR 41 MALL ROAD
BURLINGTON, MA 01805
(781) 744-8000
1073749412 PARAG VOHRA MD
Individual
Internal MedicineLAHEY HOSPITAL & MEDICAL CTR 41 MALL RD.
BURLINGTON, MA 01805
(781) 744-3839

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184666315, enumerated in the NPI registry as an "individual" on June 12, 2006

The provider is located at Lahey Hospital & Medical Ctr 41 Mall Rd Burlington, Ma 01805 and the phone number is (978) 538-4600

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

The provider might be accepting Accepts: Medicare and Medicaid. 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 $97.64 with an average copayment of $24.41 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: Emergency department visit for life threatening or functioning severity and Emergency department visit for problem of high severity.

This NPI record was last updated on June 12, 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.