WENDY J. PARKER M.D. NPI 1013087659
Internal Medicine in Natick, MA

About WENDY J. PARKER M.D.

Wendy Parker is an internist established in Natick, Massachusetts and her medical specialization is Internal Medicine with more than 39 years of experience. She graduated from State University Of New York At Stony Brook, School Of Medicine in 1984. The NPI number of Wendy Parker is 1013087659 and was assigned on November 2006. The practitioner's primary taxonomy code is 207R00000X with license number 57399 (MA). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1013087659
Provider Name WENDY J. PARKER M.D.
Location Address307 W CENTRAL ST NATICK, MA 01760
Location Phone(508) 820-8383
Mailing Address30 GREYSTONE RD DOVER, MA 02030
GenderFemale
NPI Entity TypeIndividual
Medical School NameSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year1984
Is Sole Proprietor?No
Enumeration Date11-09-2006
Last Update Date07-09-2007

An internist like Wendy J. Parker M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Wendy Parker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Wendy Parker is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Newton-wellesley Hospital, Lahey Hospital & Medical Center, Burlington and Metrowest Medical Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $37.51 for a new patient copayment and $29.15 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.57399
License StateMA
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

WENDY J. PARKER M.D.
307 W CENTRAL ST
NATICK, MA
ZIP 01760
Phone: (508) 820-8383
Fax: (508) 820-0250

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Mailing Address

WENDY J. PARKER M.D.
30 GREYSTONE RD
DOVER, MA
ZIP 02030
Phone: (774) 893-4055


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID4880651751
PECOS Enrollment IDI20041213000222
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 01760 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$66.28 $197.76 $150.04
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.57 $49.44 $37.51
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.28 $162.14 $116.6
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.32 $40.53 $29.15

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 94Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 77Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 63Administration of influenza virus vaccine (HCPCS:G0008)
  • 63Administration of pneumococcal vaccine (HCPCS:G0009)
  • 60Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 54Hemoglobin A1C level (HCPCS:83036)
  • 33Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • 26Automated urinalysis test (HCPCS:81003)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Wendy Parker is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NEWTON-WELLESLEY HOSPITAL2014 WASHINGTON STREET
NEWTON, MA 2462
(617) 243-6000Acute Care Hospitals220101
LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON41 & 45 MALL ROAD
BURLINGTON, MA 1803
(781) 744-5100Acute Care Hospitals220171
METROWEST MEDICAL CENTER115 LINCOLN STREET
FRAMINGHAM, MA 1701
(508) 383-1000Acute Care Hospitals220175

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
J11564MEDICARE ID-TYPE UNSPECIFIED (04)MA
3115348MEDICAID (05)MA
B74884MEDICARE UPIN (02)MA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013087659
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230814610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 4 + 6 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1013087659 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700940442MR. CHRISTOPHER ERIC TITCOMB MSPT
Individual
Physical Therapist307 W CENTRAL ST
NATICK, MA 01760
(508) 820-0009
1043681646 ZOE PASCHKIS
Individual
Nurse Practitioner307 W CENTRAL ST
NATICK, MA 01760
(508) 820-8383
1437693900MS. JULIE MCLAUGHLIN NP-C
Individual
Nurse Practitioner (Primary Care)307 W CENTRAL ST
NATICK, MA 01760
(508) 820-8383
1346381811MEDICAL ASSOCIATES OF GREATER BOSTON
Organization
Internal Medicine307 W CENTRAL ST
NATICK, MA 01760
(508) 820-8383

Frequently Asked Questions

What is Wendy Parker M.D. NPI number?

The NPI number assigned to Wendy Parker M.D. is 1013087659, registered as an "individual" on November 09, 2006

Where is Wendy Parker M.D. located?

The provider is located at 307 W Central St Natick, Ma 01760 and the phone number is (508) 820-8383

Which is Wendy Parker M.D. specialty?

The provider's speciality is Internal Medicine

How many years of experience does Wendy Parker M.D. have?

The provider has more than 39 years of experience. She graduated from State University Of New York At Stony Brook, School Of Medicine in 1984.

What insurance does Wendy Parker M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Wendy Parker M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Wendy Parker M.D.?

Medicare beneficiaries should expect a typical cost of $150.04 with an average copayment of $37.51 for new patient appointments. Established patients should expect a typical charge of $116.6 and an average copayment of 29.15. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Wendy Parker M.D.?

The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Routine EKG using at least 12 leads including interpretation and report, Administration of influenza virus vaccine, Administration of pneumococcal vaccine, Pneumococcal vaccine for injection into muscle, Hemoglobin A1C level, Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple and Automated urinalysis test.

Is Wendy Parker M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: NEWTON-WELLESLEY HOSPITAL, LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON and METROWEST MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Wendy Parker M.D. was last updated on November 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]