ELLEN J BUBRICK (M.D.) – Epilepsy Physician, NPI 1619986759

ELLEN J BUBRICK (M.D.) is a healthcare provider. based in Brookline, Massachusetts. specializing in NEUROLOGY, EPILEPTOLOGISTS. They hold the professional credentials M.D.. They hold a License No. 227108 (MA). The NPI Number for ELLEN J BUBRICK (M.D.) is 1619986759

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
ELLEN J BUBRICK (M.D.)
NPI
1619986759
Phone
(857) 307-0869
Address
375 BOYLSTON ST
Enumeration Date
7 August 2006
Last Update Date
4 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6177325500
Graduation Year
2002 (24 years ago)
PAC ID
6305938051
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20070825000070
Address ID
MA021156110BO75XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,144 NEUROLOGY in MA

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Provider Addresses for ELLEN J BUBRICK (M.D.)

  • 375, Boylston Street, Brookline Village Commercial District, Brookline, Norfolk County, Massachusetts, 02445-7638, United States

    BROOKLINE, MA 024456007

    Phone: (857) 307-0869

    Fax: (857) 307-0897

    Type: Mailing

  • Brigham and Women's Hospital, 75, Francis Street, Roxbury, Boston, Suffolk County, Massachusetts, 02115, United States

    75 FRANCIS STREET

    BOSTON, MA 02115

    Phone: (617) 732-7432

    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: 2007-08-25

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
I20070825000070IEpileptologistsMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9170$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8326$0
95720Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional5433$0
95816Measurement of brain wave activity (eeg), awake and drowsy4040$0
95819Measurement of brain wave activity (eeg), awake and asleep2828$0
View full utilization report →

Insurance plans in this area (ZIP 02445)

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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: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

Is there an official ID for ELLEN J BUBRICK (M.D.) in U.S. healthcare records?
The official identifier for ELLEN J BUBRICK (M.D.) is NPI 1619986759.
Is there an active status for ELLEN J BUBRICK (M.D.)?
For scheduling context, ELLEN J BUBRICK (M.D.) is shown as active in the registry.
What kind of doctor is ELLEN J BUBRICK (M.D.)?
ELLEN J BUBRICK (M.D.) is associated with Epilepsy Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ELLEN J BUBRICK (M.D.)?
Directory geography for ELLEN J BUBRICK (M.D.) centers on Brookline, Massachusetts.
Does ELLEN J BUBRICK (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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