Unknown Individual – Internal Medicine Physician, NPI 1578561809
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
340, Main Street, Leominster, Worcester County, Massachusetts, 01453, United States
STE. 670
WORCESTER, MA 016081604
Phone: (508) 754-3566
Fax: (508) 438-6368
Type: Mailing
Lincoln School, 61, Lincoln Street, Framingham, Middlesex County, Massachusetts, 01702, United States
SUITE 301
FRAMINGHAM, MA 017028264
Phone: (508) 879-0077
Fax: (508) 875-1005
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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.
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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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 125 | 105 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 52 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 52 | 52 | $0 |
| G0009 | Administration of pneumococcal vaccine | 52 | 52 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 43 | 43 | $0 |
Insurance plans in this area (ZIP 01608)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MA | 83036 | Hemoglobin A1C level | 35 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| Clinical Social Worker | RI | |
| Nurse Practitioner | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA | |
| - | MA |
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