URSULA ANNE MATULONIS MD
NPI 1992870638
Internal Medicine - Medical Oncology in Boston, MA


Quality Rating: 75.48 out of 100 score

NPI Status: Active since November 21, 2006

Contact Information

44 BINNEY STREET
DANA FARBER CANCER INSTITUTE
BOSTON, MA
ZIP 02115
Phone: (617) 632-2334
Fax: (617) 632-3479

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  • Individual
  • Female
  • Years of Experience 39
  • Internal Medicine
  • Medical Oncology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About URSULA MATULONIS

This page provides the complete NPI Profile along with additional information for Ursula Matulonis, an internist established in Boston, Massachusetts with a medical specialization in Internal Medicine, focusing in medical oncology and more than 39 years of experience. She graduated from Albany Medical College Of Union University in 1987. The healthcare provider is registered in the NPI registry with number 1992870638 assigned on November 2006. The practitioner's primary taxonomy code is 207RX0202X with license number 72597 (MA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1992870638
Provider Name
URSULA ANNE MATULONIS MD
Gender
Female
Entity Type
Individual
Location Address
44 BINNEY STREET DANA FARBER CANCER INSTITUTE BOSTON, MA 02115
Location Phone
(617) 632-2334
Location Fax
(617) 632-3479
Mailing Address
44 BINNEY STREET DANA FARBER CANCER INSTITUTE BOSTON, MA 02115
Mailing Phone
(617) 632-2334
Mailing Fax
(617) 632-3479
Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year
1987
Is Sole Proprietor?
No
Enumeration Date
11-21-2006
Last Update Date
07-08-2007
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An internist like Ursula Matulonis 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 Medical Oncology

Taxonomy Code
207RX0202X
Type
Allopathic & Osteopathic Physicians
License No.
72597
License State
MA
Taxonomy Description
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

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

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

Medicare Participation & PECOS Enrollment Status

Ursula Matulonis 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.

Ursula Matulonis 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: 4981641974

    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: I20050412000183

    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.

Unknown

  • Other-Enteral and Parenteral (OB005N)

    Parenteral nutrition solution, not otherwise specified, 10 grams lipids (HCPCS:B4185)

    1 DME suppliers used 34 Medicare Claims 784 Services Paid

  • Other-Enteral and Parenteral (OB005N)

    Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix (HCPCS:B4199)

    1 DME suppliers used 34 Medicare Claims 179 Services Paid

  • Other-Enteral and Parenteral (OB005N)

    Parenteral nutrition supply kit; premix, per day (HCPCS:B4220)

    1 DME suppliers used 34 Medicare Claims 179 Services Paid

  • Other-Enteral and Parenteral (OB005N)

    Parenteral nutrition administration kit, per day (HCPCS:B4224)

    1 DME suppliers used 34 Medicare Claims 179 Services Paid

  • Treatment-Treatment - Miscellaneous (RX000N)

    Cyclophosphamide; oral, 25 mg (HCPCS:J8530)

    3 DME suppliers used 43 Medicare Claims 1708 Services Paid

  • Treatment-Chemotherapy (RH012N)

    Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period (HCPCS:Q0511)

    3 DME suppliers used 38 Medicare Claims 38 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.

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 15 times for 13 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 46 times for 31 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 56 times for 40 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 124 times for 68 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 41 times for 26 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 96 times for 43 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 14 times for 14 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 11 times for 11 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $47.46 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 02115 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $189.86
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $47.46
  • 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 75.48, 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: 75.48 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: 62.3

    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: 45.44

    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: 45.44

    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. Ursula Matulonis is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
BRIGHAM AND WOMEN'S HOSPITAL75 FRANCIS STREET
BOSTON, MA 02115
(617) 732-5500Acute 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.
1992870638
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29182167066
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 1 + 6 + 7 + 0 + 6 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1992870638 is valid because the calculated check digit 8 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
1447224613MS. SHELLEY ROSE MCCORMICK
Individual
Genetic Counselor, MS44 BINNEY STREET DANA-FARBER CANCER INSTITUTE
BOSTON, MA 02115
(617) 632-3210
1396712105DR. IRIS TANCHI CHAN MD PHD
Individual
Internal Medicine (Medical Oncology)44 BINNEY STREET SUITE D1 B30
BOSTON, MA 02115
(617) 632-6922
1245207828 ARNOLD S FREEDMAN MD
Individual
Internal Medicine (Medical Oncology)44 BINNEY STREET ROOM D1B30 DFCI DANA FARBER CANCER INSTITUTE
BOSTON, MA 02115
(617) 632-4894
1659348043 ROBERT WATERS ROSS MD
Individual
Internal Medicine (Medical Oncology)44 BINNEY STREET D1230
BOSTON, MA 02115
(617) 632-3237
1598732752 DAVID E FISHER MD PHD
Individual
Internal Medicine (Medical Oncology)44 BINNEY STREET DANA 630 DFCI
BOSTON, MA 02115
(617) 632-4916
1528036894DR. RICHARD MAURY STONE MD
Individual
Internal Medicine (Hematology & Oncology)44 BINNEY STREET
BOSTON, MA 02115
(617) 632-2214
1801864202MS. KIMBERLY STEGMAIER MD
Individual
Pediatrics (Pediatric Hematology-Oncology)44 BINNEY STREET
BOSTON, MA 02115
(617) 632-4985
1497723647DR. SUNG YUN PAI MD
Individual
Pediatrics (Pediatric Hematology-Oncology)44 BINNEY STREET DANA FARBER CANCER INSTITUTE
BOSTON, MA 02115
(617) 632-3956
1710946140 CATHERINE JU-YING WU MD
Individual
Internal Medicine (Hematology & Oncology)44 BINNEY STREET DANA FARBER CANCER INSTITUTE
BOSTON, MA 02115
(617) 632-5943
1770544256 PAUL G RICHARDSON MD
Individual
Internal Medicine (Hematology & Oncology)44 BINNEY STREET DANA FARBER CANCER INSTITUTE
BOSTON, MA 02115
(617) 632-2104
1508821513 LAURIE ROSENBLATT MD
Individual
Psychiatry & Neurology (Psychiatry)44 BINNEY STREET DANA FARBER CANCER INSTITUTE
BOSTON, MA 02115
(617) 632-5287
1568413870MRS. LINDA DRURY PA-C
Individual
Physician Assistant (Medical)44 BINNEY STREET DANA FARBER CANCER INSTITUTE
BOSTON, MA 02115
(617) 632-6920
1568418754 DAVID STEVEN PELLMAN M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)44 BINNEY STREET DANA-FARBER PED ONCOLOGY
BOSTON, MA 02115
(617) 632-4918
1285671404 ANDREW J WAGNER M.D.
Individual
Internal Medicine (Hematology & Oncology)44 BINNEY STREET DANA FARBER CANCER INST.
BOSTON, MA 02115
(617) 632-4899
1790724912MR. ANDREW P. WOLANSKI NP
Individual
Nurse Practitioner (Adult Health)44 BINNEY STREET SW460
BOSTON, MA 02115
(617) 632-6623
1508896853DR. LOREN DAVID WALENSKY MD PHD
Individual
Pediatrics (Pediatric Hematology-Oncology)44 BINNEY STREET DANA FARBER CANCER INSTITUTE DANA 3 JIMMY FUND CLINIC
BOSTON, MA 02115
(617) 632-6794
1497773923 LISA ROBIN DILLER MD
Individual
Pediatrics (Pediatric Hematology-Oncology)44 BINNEY STREET 300 LONGWOOD AVENUE
BOSTON, MA 02115
(617) 632-5642
1780602433 A LINDSAY FRAZIER MD SCM
Individual
Pediatrics (Pediatric Hematology-Oncology)44 BINNEY STREET
BOSTON, MA 02115
(617) 632-2273
1518070101 MARCUS OTHO BUTLER MD
Individual
Internal Medicine (Hematology & Oncology)44 BINNEY STREET DANA FARBER CANCER INSTITUTE
BOSTON, MA 02115
(617) 632-2334
1851494397 JENNIFER COHN KESSELHEIM MD
Individual
Pediatrics (Pediatric Hematology-Oncology)44 BINNEY STREET DANA FARBER CANCER INSTITUTE D3
BOSTON, MA 02115
(617) 632-2423

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992870638, enumerated in the NPI registry as an "individual" on November 21, 2006

The provider is located at 44 Binney Street Dana Farber Cancer Institute Boston, Ma 02115 and the phone number is (617) 632-2334

The provider's speciality is Internal Medicine with taxonomy code 207RX0202X with a focus in Medical Oncology

The provider has more than 39 years of experience. She graduated from Albany Medical College Of Union University in 1987.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. 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 $189.86 with an average copayment of $47.46 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: Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, 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, 30-39 minutes, New patient office or other outpatient visit, 30-44 minutes and New patient office or other outpatient visit, 45-59 minutes.

The practitioner is affiliated to the following hospital(s): BRIGHAM AND WOMEN'S HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on November 21, 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.