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PAUL J. PETTINATO M.D.
NPI 1023048808
Internal Medicine in Needham, MA

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
89.43/100
CMS Quality Rating
15 OAK ST STE 3, NEEDHAM, MA 02492(339) 793-8998 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul J. Pettinato M.d. NPPES

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

PAUL J. PETTINATO M.D. (NPI 1023048808) is an individual internal medicine provider in Needham, Massachusetts, licensed in Massachusetts (214622) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and is a graduate of University Of Massachusetts Medical School (1998).

NPPES Registry Identity

NPI1023048808
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAUL J. PETTINATOCredential: M.D.
Location Address15 OAK ST STE 3Needham, MA 02492-2470
Mailing Address15 Oak St Ste 3Needham, MA 02492-2470 · (781) 722-2538
Phone(339) 793-8998
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1998
Enumeration DateJuly 4, 2006
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1023048808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 214622
Definition
A 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.
15 OAK ST STE 3, Needham, MA 02492
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Other Identifiers 1

Medicaid0198391MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul J. Pettinato 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 ID42357949
PECOS Enrollment IDI20101111000860
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
155 services82 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services40 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220052
Location680 Center StreetBrockton, MA 02302 · Plymouth County
Emergency services Birthing friendly

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220083
Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02492 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.41
Promoting Interoperability100
Improvement Activities40
Cost72.68

Referred Medical Equipment & Supplies CMS DME claims 19

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers35 claims90 services$6.62 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers12 claims19 services$1.14 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers32 claims32 services$32.83 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers27 claims27 services$78.71 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers27 claims81 services$29.34 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers24 claims139 services$14.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAYAL SHARMA NP
Nurse Practitioner (Family)
15 OAK ST STE 3
NEEDHAM, MA 02492
Norfolk County (888) 671-5902
SAMANTHA ARLENE MALLEY MSN, ARNP, FNP-C
Nurse Practitioner (Family)
15 OAK ST STE 3
NEEDHAM, MA 02492
Norfolk County (888) 671-5902
RACHEL DEDECKER RD
Dietitian, Registered
15 OAK ST STE 3
NEEDHAM, MA 02492
Norfolk County (888) 671-5902
SEEN MEDICAL GROUP OF MA, P.C.
Internal Medicine
15 OAK ST STE 3
NEEDHAM, MA 02492
Norfolk County (952) 237-5489
MARJORIE GREENWELL CLAPP BATES RD
Dietitian, Registered
15 OAK ST STE 3
NEEDHAM, MA 02492
Norfolk County (339) 793-8998
SEEN MEDICAL GROUP, P.A.
Internal Medicine
15 OAK ST STE 3
NEEDHAM, MA 02492
Norfolk County (339) 793-8998

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 Paul Pettinato's NPI number?

The NPI number for Paul Pettinato is 1023048808. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Paul Pettinato located?

Paul Pettinato practices at 15 Oak St Ste 3, Needham, MA 02492. The listed phone number is (339) 793-8998.

What is Paul Pettinato's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Pettinato enrolled in Medicare?

Yes. Paul Pettinato 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.

What insurance does Paul Pettinato accept?

Health plans from Anthem Blue Cross and Blue Shield list Paul Pettinato 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 Paul Pettinato affiliated with any hospitals?

According to CMS data, Paul Pettinato is affiliated with Signature Healthcare Brockton Hospital and Beth Israel Deaconess Hospital - Needham.

When was this NPI record last updated?

The NPPES record for Paul Pettinato was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.