DR. LYNNE J GOLDBERG (MD) – Dermatology Physician, NPI 1861483018

DR. LYNNE J GOLDBERG (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in Dermatology Physician. They hold the professional credentials MD. They hold a License No. 75274 (MA). The NPI Number for DR. LYNNE J GOLDBERG (MD) is 1861483018

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. LYNNE J GOLDBERG (MD)
NPI
1861483018
Phone
Not provided
Address
720 HARRISON AVE
Enumeration Date
4 November 2005
Last Update Date
24 July 2014

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
6147638848
Graduation Year
1986 (40 years ago)
PAC ID
1456393453
Group Practice PAC ID
7012803919
Professional Enrollment ID
I20050601000188
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LYNNE J GOLDBERG (MD)

  • Doctors Office Building, 720, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    DOB 503

    BOSTON, MA 021182371

    Phone:

    Type: Mailing

  • Shapiro Center, 725, Albany Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    SHAPIRO 8

    BOSTON, MA 021182526

    Phone: (617) 638-7420

    Fax: (617) 638-7289

    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: 2005-06-01

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
I20050601000188IDermatologyMATBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity829593$0
88312Special stained specimen slides to identify organisms including interpretation and report7149$0
99213Established patient office or other outpatient visit, 20-29 minutes6656$0
88341Special stained specimen slides to examine tissue, each additional procedure6421$0
88342Special stained specimen slides to examine tissue, initial procedure5149$0
View full utilization report →

Insurance plans in this area (ZIP 02118)

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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: 7012803919View 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 YNJ
D E R M A T O L O G YMA
-MA
D E R M A T O L O G YMA
Pathology, DermatologyMA
D E R M A T O L O G YMA
Physician AssistantMA
-MA
D E R M A T O L O G YMA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. LYNNE J GOLDBERG (MD)?
NPI 1861483018 is assigned to DR. LYNNE J GOLDBERG (MD) under the national enumeration system.
Does this profile mean DR. LYNNE J GOLDBERG (MD) is currently active?
Yes — DR. LYNNE J GOLDBERG (MD) appears active in the national provider directory.
Does DR. LYNNE J GOLDBERG (MD) list a primary specialty?
If you are matching referrals, note Dermatology Physician for DR. LYNNE J GOLDBERG (MD). Clinical services aligned with this taxonomy classification.
Does DR. LYNNE J GOLDBERG (MD) practice in Massachusetts?
You will see Boston, Massachusetts on file for DR. LYNNE J GOLDBERG (MD) alongside any extra practice locations.
How can I contact DR. LYNNE J GOLDBERG (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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