DR. DEBRA SHAPIRO MD
NPI 1194775262
Internal Medicine in Cambridge, MA
NPI Status: Active since May 11, 2006
Contact Information
725 CONCORD AVE
SUITE 2000
CAMBRIDGE, MA
ZIP 02138
Phone: (617) 661-4600
Fax: (617) 547-9170
- Individual
- Female
- Years of Experience 41
- Internal Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DEBRA SHAPIRO
This page provides the complete NPI Profile along with additional information for Debra Shapiro, an internist established in Cambridge, Massachusetts with a medical specialization in Internal Medicine and more than 41 years of experience. She graduated from University Of Massachusetts Medical School in 1985. The healthcare provider is registered in the NPI registry with number 1194775262 assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X with license number 57930 (MA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1194775262
- Provider Name
- DR. DEBRA SHAPIRO MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 725 CONCORD AVE SUITE 2000 CAMBRIDGE, MA 02138
- Location Phone
- (617) 661-4600
- Location Fax
- (617) 547-9170
- Mailing Address
- 725 CONCORD AVE SUITE 2000 CAMBRIDGE, MA 02138
- Mailing Phone
- (617) 661-4600
- Mailing Fax
- (617) 547-9170
- Medical School Name
- UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
- Graduation Year
- 1985
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-11-2006
- Last Update Date
- 07-08-2007
- Code Navigator
An internist like Debra Shapiro is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 57930
- License State
- MA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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 Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - 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.
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 |
|---|---|---|---|
| B98195 | MEDICARE UPIN (02) | MA | |
| 3036979 | MEDICAID (05) | MA | |
| 60061 | OTHER (01) | MA | HPHC |
| J07460 | OTHER (01) | MA | BCBS |
| 057930 | OTHER (01) | MA | TUFTS |
| J07460 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA |
Medicare Participation & PECOS Enrollment Status
Debra Shapiro 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.
Debra Shapiro 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: 9436196581
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: I20050411001152
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 (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
6 DME suppliers used 16 Medicare Claims 54 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.
Administration of influenza virus vaccine
Administration of pneumococcal vaccine
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Detection test by nucleic acid for multiple types influenza virus
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
Hemoglobin a1c level
Influenza vaccine split virus, preservative free
Insertion of needle into vein for collection of blood sample
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 120 times for 119 patientsThe pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
This service was performed 13 times for 13 patientsThis is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
This service was performed 26 times for 26 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 191 times for 191 patientsA detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
This service was performed 16 times for 16 patientsThis 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 151 times for 125 patientsThis 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 564 times for 257 patientsThis 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 61 times for 52 patientsHemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
This service was performed 46 times for 29 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 117 times for 117 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 399 times for 224 patientsThis is a COVID-19 vaccine injection, given into a muscle. It's the first dose of a two-dose series. The vaccine, made from mRNA technology, targets the virus's spike protein. It's free of preservatives and each dose contains 100 mcg in a 0.5ml solution.
This service was performed 26 times for 26 patientsThis is your first dose of a COVID-19 vaccine. It's a shot given in the muscle, usually the arm. The vaccine uses mRNA technology to help your body recognize and fight the virus. It's preservative free and contains 30 mcg in a 0.3ml dose.
This service was performed 53 times for 53 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 45 times for 44 patientsPhysician 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 02138 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.
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. Debra Shapiro is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| MOUNT AUBURN HOSPITAL | 330 MOUNT AUBURN STREET CAMBRIDGE, MA 02138 | (617) 492-3500 | Acute Care Hospitals | |
| FAULKNER HOSPITAL-BRIGHAM AND WOMEN'S | 1153 CENTRE STREET BOSTON, MA 02130 | (617) 983-7000 | Acute 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. | |||||||||
| 1 | 1 | 9 | 4 | 7 | 7 | 5 | 2 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 18 | 4 | 14 | 7 | 10 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 8 + 4 + 1 + 4 + 7 + 1 + 0 + 2 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1194775262 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1770578528 | DR. JOHN JAMOULIS JAMESON MD Individual | Otolaryngology | 725 CONCORD AVE SUITE 2300 CAMBRIDGE, MA 02138 (617) 499-9933 |
| 1164410791 | DR. ARTHUR DONALD SHUSHAN M.D. Individual | Internal Medicine | 725 CONCORD AVE SUITE 4100 CAMBRIDGE, MA 02138 (617) 864-8822 |
| 1013905652 | DR. CATHARINE M. MINTZER M.D. Individual | Internal Medicine | 725 CONCORD AVE SUITE 4100 CAMBRIDGE, MA 02138 (617) 864-8822 |
| 1134117781 | DR. KENNETH A. BERNSTEIN M.D. Individual | Internal Medicine | 725 CONCORD AVE SUITE 4100 CAMBRIDGE, MA 02138 (617) 864-8822 |
| 1346238722 | DR. CALLIE M. TAFFE M.D. Individual | Internal Medicine | 725 CONCORD AVE SUITE 4100 CAMBRIDGE, MA 02138 (617) 864-8822 |
| 1790773828 | DR. KAY SHOU-MEI KANE M.D. Individual | Dermatology | 725 CONCORD AVE SUITE 4100 CAMBRIDGE, MA 02138 (617) 864-8822 |
| 1861480766 | DR. TREVOR H. KAYE M.D. Individual | Internal Medicine | 725 CONCORD AVE SUITE 4100 CAMBRIDGE, MA 02138 (617) 864-8822 |
| 1770571671 | DR. DENEEN E. PELLETIER M.D. Individual | Internal Medicine | 725 CONCORD AVE SUITE 4100 CAMBRIDGE, MA 02138 (617) 864-8822 |
| 1225001670 | DR. JEAN FECHHEIMER MD Individual | Obstetrics & Gynecology | 725 CONCORD AVE STE 3500 CAMBRIDGE, MA 02138 (617) 503-1000 |
| 1245206176 | DR. PAUL BARSAM M.D. Individual | Ophthalmology | 725 CONCORD AVE CAMBRIDGE, MA 02138 (617) 864-8822 |
| 1568421279 | DR. JOYCELYN A DATU MD Individual | Internal Medicine | 725 CONCORD AVE BELMONT MEDICAL ASSOCIATES CAMBRIDGE, MA 02138 (617) 864-8822 |
| 1952364861 | DR. RICARDO LEO WELLISCH M.D. Individual | Internal Medicine | 725 CONCORD AVE CAMBRIDGE, MA 02138 (617) 661-4600 |
| 1588612055 | LISA GOLDING MD Individual | Internal Medicine | 725 CONCORD AVE SUITE 2000 CAMBRIDGE, MA 02138 (617) 661-4600 |
| 1386694453 | DR. ANN MARGARET SANDIN MD Individual | Internal Medicine | 725 CONCORD AVE SUITE 2000 CAMBRIDGE, MA 02138 (617) 661-4600 |
| 1912947813 | CARON C. WEINER MS/CCC-A Individual | Audiologist | 725 CONCORD AVE SUITE 2300 CAMBRIDGE, MA 02138 (617) 499-3353 |
| 1659394435 | LISA LUZ FNP-BC Individual | Nurse Practitioner (Family) | 725 CONCORD AVE SUITE 5100 CAMBRIDGE, MA 02138 (617) 499-6767 |
| 1457375727 | DR. KATHERINE HANAWAY MD Individual | Obstetrics & Gynecology | 725 CONCORD AVE STE 3300 CAMBRIDGE, MA 02138 (617) 354-5452 |
| 1386748960 | JOHN DANCHIK D.C. Individual | Chiropractor | 725 CONCORD AVE SUITE 4100 CAMBRIDGE, MA 02138 (617) 864-8822 |
| 1164579462 | LIEBA SAVITT NP Individual | Nurse Practitioner (Women's Health) | 725 CONCORD AVE STE 3300 CAMBRIDGE, MA 02138 (617) 354-5452 |
| 1790821221 | JULIE E. SINDEN P.T. Individual | Physical Therapist | 725 CONCORD AVE SUITE 2200 CAMBRIDGE, MA 02138 (617) 864-8823 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194775262, enumerated in the NPI registry as an "individual" on May 11, 2006
The provider is located at 725 Concord Ave Suite 2000 Cambridge, Ma 02138 and the phone number is (617) 661-4600
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider has more than 41 years of experience. She graduated from University Of Massachusetts Medical School in 1985.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare,. 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.
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: Administration of influenza virus vaccine, Administration of pneumococcal vaccine, Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Detection test by nucleic acid for multiple types influenza virus, 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, Hemoglobin a1c level, Influenza vaccine split virus, preservative free, Insertion of needle into vein for collection of blood sample, Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose, Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report.
The practitioner is affiliated to the following hospital(s): MOUNT AUBURN HOSPITAL and FAULKNER HOSPITAL-BRIGHAM AND WOMEN'S. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on May 11, 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].
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