MICHAEL C BOSWORTH (MD) – Dermatology Physician, NPI 1245657444

MICHAEL C BOSWORTH (MD) is a healthcare provider. based in Wellesley hills, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 263766 (MA). The NPI Number for MICHAEL C BOSWORTH (MD) is 1245657444

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL C BOSWORTH (MD)
NPI
1245657444
Phone
(781) 416-3500
Address
1 WASHINGTON ST STE 401
Enumeration Date
25 March 2014
Last Update Date
8 April 2019

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7814163500
Graduation Year
2014 (12 years ago)
PAC ID
3577784974
Group Practice PAC ID
6103845094
Professional Enrollment ID
I20180831001642
Address ID
MA024811737WE1XXXXSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

744 DERMATOLOGY in MA

Provider Addresses for MICHAEL C BOSWORTH (MD)

  • 1 WASHINGTON ST STE 401

    WELLESLEY HILLS, MA 024811737

    Phone: (781) 416-3500

    Fax: (781) 416-3505

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($57).

Total Amount

$57

General + Research + Ownership

Payments

2

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-08-31

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
I20180831001642IDermatologyMATBD

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
17003Destruction of precancer skin growth, 2-14 growths1,272237$0
99213Established patient office or other outpatient visit, 20-29 minutes600431$0
17000Destruction of precancer skin growth, 1 growth392293$0
11102Biopsy of related skin growth, first growth207190$0
17110Destruction of skin growth, 1-14 growths12196$0
View full utilization report →

Insurance plans in this area (ZIP 02481)

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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: 6103845094View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA

Reviews

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Frequently asked questions

What federal number belongs to MICHAEL C BOSWORTH (MD)?
The federal identifier for MICHAEL C BOSWORTH (MD) is NPI 1245657444.
Is MICHAEL C BOSWORTH (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MICHAEL C BOSWORTH (MD)'s specialty in plain language?
Clinically, the directory lists MICHAEL C BOSWORTH (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MICHAEL C BOSWORTH (MD)?
The snapshot lists Wellesley Hills, Massachusetts for MICHAEL C BOSWORTH (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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