LAWRENCE MICHAEL MALINCONICO (MD) – Emergency Medicine Physician, NPI 1215565080

LAWRENCE MICHAEL MALINCONICO (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 1015066 (MA). The NPI Number for LAWRENCE MICHAEL MALINCONICO (MD) is 1215565080

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
LAWRENCE MICHAEL MALINCONICO (MD)
NPI
1215565080
Phone
Not provided
Address
PO BOX 415348
Enumeration Date
29 March 2020
Last Update Date
27 March 2023

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5088450127
Graduation Year
2020 (6 years ago)
PAC ID
7012336860
Group Practice PAC ID
5597753251
Professional Enrollment ID
I20230403001527
Address ID
MA017573003MI14XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,682 EMERGENCY MEDICINE in MA

Provider Addresses for LAWRENCE MICHAEL MALINCONICO (MD)

  • PO BOX 415348

    BOSTON, MA 022415348

    Phone:

    Type: Mailing

  • 55 LAKE AVE N

    WORCESTER, MA 016550002

    Phone: (508) 421-1400

    Fax: (508) 421-1490

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230403001527IEmergency MedicineMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making8178$0
99284Emergency department visit with moderate level of medical decision making5151$0
99291Critical care, first 30-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 02241)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597753251View full group profile

Reviews

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Frequently asked questions

How do payers reference LAWRENCE MICHAEL MALINCONICO (MD)?
For LAWRENCE MICHAEL MALINCONICO (MD), use NPI 1215565080 as the unique 10-digit identifier.
Is LAWRENCE MICHAEL MALINCONICO (MD) still an active registrant?
LAWRENCE MICHAEL MALINCONICO (MD) carries an active NPI according to the public dataset.
What expertise is attributed to LAWRENCE MICHAEL MALINCONICO (MD)?
LAWRENCE MICHAEL MALINCONICO (MD)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with LAWRENCE MICHAEL MALINCONICO (MD)?
Directory geography for LAWRENCE MICHAEL MALINCONICO (MD) centers on Boston, Massachusetts.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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