DR. RICHARD H MA M.D.
NPI 1013995398
Hospitalist in Burlington, MA

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
41 MALL RD LAHEY CLINIC, BURLINGTON, MA 01805(781) 744-3839(781) 744-1597 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2019, Mar 28, 2018 (2 updates tracked since 2018).

About Dr. Richard H Ma M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD H MA M.D. (NPI 1013995398) is an individual hospitalist provider in Burlington, Massachusetts, licensed in Massachusetts (208831) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lahey Hospital & Medical Center, Burlington, and maintains a secondary practice location in Richland.

NPPES Registry Identity

NPI1013995398
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. RICHARD H MACredential: M.D.
Location Address41 MALL RD LAHEY CLINICBurlington, MA 01805-0001
Mailing Address41 Mall Rd, Lahey ClinicBurlington, MA 01805-0001 · (781) 744-3839 · Fax (781) 744-1597
Fax(781) 744-1597
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 5, 2006
Last NPPES UpdateJuly 24, 20192 updates tracked since enumeration
✔ NPI 1013995398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in MA · 208831✔ Licensed in WA · MD60959231
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD60959231 (WA), 208831 (MA)
41 MALL RD LAHEY CLINIC, Burlington, MA 01805

Secondary Practice Location 1

Location 1888 Swift BlvdRichland, WA 99352-3514 · Phone (509) 942-2648 · Fax (509) 942-2812

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard H Ma M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547153611
PECOS Enrollment IDI20040203000820
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Richard Ma reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
41 MALL RD, LAHEY CLINIC
Burlington, MA 01805
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1063447316 (Massachusetts)
  • 1,574 clinicians in this Medicare group
Critical Access
1 HOSPITAL RD
Oak Bluffs, MA 02557
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1194866210 (Massachusetts)
  • 184 clinicians in this Medicare group
Rural
57 PROSPECT ST
Nantucket, MA 02554
  • Reassigned Medicare billing, Massachusetts enrollment
  • 206 clinicians in this Medicare group
Orthopaedic Surgery
57 PROSPECT ST, ROOM 101
Nantucket, MA 02554
  • Reassigned Medicare billing, Massachusetts enrollment
  • 172 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
267 services214 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
138 services117 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
35 services35 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Nantucket Cottage Hospital

Acute Care Hospitals · Nantucket, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220177
Location57 Prospect StreetNantucket, MA 02554 · Nantucket County
Emergency services Birthing friendly

Martha's Vineyard Hospital Inc

Critical Access Hospitals · Oak Bluffs, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221300
LocationOne Hospital Road, First Fl, Wing 5, PO Box 1477Oak Bluffs, MA 02557 · Dukes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier16 claims16 services$920.81 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier29 claims29 services$30.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Ma's NPI number?

The NPI number for Richard Ma is 1013995398. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Richard Ma located?

Richard Ma practices at 41 Mall Rd Lahey Clinic, Burlington, MA 01805. The listed phone number is (781) 744-3839.

What is Richard Ma's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Richard Ma enrolled in Medicare?

Yes. Richard Ma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Richard Ma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Ma reassigns Medicare benefits to 4 organizations: Lahey Clinic, Inc. (Burlington, MA), Martha's Vineyard Hospital, Inc. (Oak Bluffs, MA), Nantucket Cottage Hospital (Nantucket, MA) and Nantucket Physicians Organization (Nantucket, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Ma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Ma accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Richard Ma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Richard Ma affiliated with any hospitals?

According to CMS data, Richard Ma is affiliated with Lahey Hospital & Medical Center, Burlington, Nantucket Cottage Hospital and Martha's Vineyard Hospital Inc.

When was this NPI record last updated?

The NPPES record for Richard Ma was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.