Unknown Individual – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1306848643
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Tufts Medical Center, 800, Washington Street, Chinatown, Financial District, Boston, Suffolk County, Massachusetts, 02111, United States
BOX 306
BOSTON, MA 021111552
Phone: (617) 636-5148
Fax: (617) 636-5178
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 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2023-04-11 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 338 | 169 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 260 | 75 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 111 | 75 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 41 | 41 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 27 | 26 | $0 |
Insurance plans in this area (ZIP 02111)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | MA | 20610 | Aspiration and/or injection of large joint or joint capsule | 148 | 92 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Hand Surgery | MA | |
| Physician Assistant | MA | |
| P O D I A T R Y | MA | |
| Orthopedic Surgery | TX | |
| Physician Assistant | NY | |
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| Orthopedic Surgery | PA | |
| Orthopedic Surgery | MA | |
| Orthopedic Surgery, Sports Medicine | FL |
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