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DR. STACI R EISENBERG MD
NPI 1033109301
Internal Medicine in Jamaica Plain, MA

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
1153 CENTRE ST, JAMAICA PLAIN, MA 02130(617) 983-7025 Get Directions Write a Review

NPPES record last updated: February 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2019, Dec 14, 2015 (2 updates tracked since 2015).

About Dr. Staci R Eisenberg Md NPPES

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

DR. STACI R EISENBERG MD (NPI 1033109301) is an individual internal medicine provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (220587) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2002).

NPPES Registry Identity

NPI1033109301
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. STACI R EISENBERGCredential: MD
Location Address1153 CENTRE STJamaica Plain, MA 02130-3446
Mailing Address1153 Centre StJamaica Plain, MA 02130-3446
Phone(617) 983-7025
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2002
Enumeration DateOctober 26, 2005
Last NPPES UpdateFebruary 7, 20192 updates tracked since enumeration
✔ NPI 1033109301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MA · 220587✔ Licensed in RI · MD15098
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.
Also ListedPediatricsTaxonomy 208000000X · License MD15098 (RI)
1153 CENTRE ST, Jamaica Plain, MA 02130
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Other Identifiers 1

OtherMD15098RI · License

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

Dr. Staci R Eisenberg Md 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 ID3072697762
PECOS Enrollment IDI20121120000078
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 6

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.
104 services68 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.
29 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services14 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02130 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 4

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
8 suppliers24 claims90 services$6.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims33 services$1.10 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$4.28 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,950 services$0.96 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 20

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

MRS. MARY RAY MAZAKA LICSW
Social Worker (Clinical)
1153 CENTRE ST, 2ND FLOOR
BOSTON, MA 02130
Suffolk County (617) 983-7233
MRS. ELAINE ANN CHARBONNIER NP
Nurse Practitioner (Adult Health)
1153 CENTRE ST, FAULKNER HOSPITAL , DEPT OF PREADMISSION TESTING
BOSTON, MA 02130
Suffolk County (617) 933-4600
HYEJUNG KIM RPH
Pharmacist
1153 CENTRE ST
BOSTON, MA 02130
Suffolk County (851) 404-5397
FAINA NAKHLIS MD
Surgery (Surgical Oncology)
1153 CENTRE ST, FAULKNER BREAST CENTRE
BOSTON, MA 02130
Suffolk County (617) 983-7777
CATHERINE COQUINCO LLAMAS PA
Physician Assistant
1153 CENTRE ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-7132
KRISTIN MARIE STELTER LICSW, MFA
Social Worker (Clinical)
1153 CENTRE ST
BOSTON, MA 02130
Suffolk County (617) 983-4470
DOLORES MARIE SULA PA-C
Physician Assistant
1153 CENTRE ST
BOSTON, MA 02130
Suffolk County (617) 983-7000
BRIGHAM AND WOMEN'S FAULKNER HOSPITAL, INC.
Psychiatric Unit
1153 CENTRE ST
BOSTON, MA 02130
Suffolk County (617) 983-7470

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 Staci Eisenberg's NPI number?

The NPI number for Staci Eisenberg is 1033109301. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Staci Eisenberg located?

Staci Eisenberg practices at 1153 Centre St, Jamaica Plain, MA 02130. The listed phone number is (617) 983-7025.

What is Staci Eisenberg's specialty?

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

Is Staci Eisenberg enrolled in Medicare?

Yes. Staci Eisenberg 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 Staci Eisenberg accept?

Health plans from Anthem Blue Cross and Blue Shield list Staci Eisenberg 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 Staci Eisenberg affiliated with any hospitals?

According to CMS data, Staci Eisenberg is affiliated with Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Staci Eisenberg was last updated on February 7, 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.