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DR. KIMBERLY RUSSO DITTLER M.D.
NPI 1033136650
Emergency Medicine in Boston, MA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
1153 CENTRE ST, BOSTON, MA 02130(617) 983-7700(617) 983-7724 Get Directions Write a Review

NPPES record last updated: March 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kimberly Russo Dittler M.d. NPPES

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

DR. KIMBERLY RUSSO DITTLER M.D. (NPI 1033136650) is an individual emergency medicine provider in Boston, Massachusetts, licensed in Massachusetts (236721) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2002).

NPPES Registry Identity

NPI1033136650
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. KIMBERLY RUSSO DITTLERCredential: M.D.
Location Address1153 CENTRE STBoston, MA 02130-3446
Mailing Address1153 Centre StBoston, MA 02130-3446 · (617) 983-7700 · Fax (617) 983-7724
Phone(617) 983-7700
Fax(617) 983-7724
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2002
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 29, 2011
✔ NPI 1033136650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MA · 236721✔ Licensed in GA · 054658✔ Licensed in IL · 036-113760
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1153 CENTRE ST, Boston, MA 02130
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Other Names 1

Former Name (1)Dr. Kimberly Lynn Russo M.d.

Other Identifiers 3

Medicaid036113760IL
Medicare PINK20206IL
Medicare UPINI39397

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. Kimberly Russo Dittler 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 ID4284665159
PECOS Enrollment IDI20081025000073
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 7

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
190 services184 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
78 services77 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.
38 services38 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services36 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.
27 services27 patients
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.
18 services18 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
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.

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
DR. STACI R EISENBERG MD
Internal Medicine
1153 CENTRE ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-7025

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 Kimberly Dittler's NPI number?

The NPI number for Kimberly Dittler is 1033136650. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Dr. Kimberly Lynn Russo M.D..

Where is Kimberly Dittler located?

Kimberly Dittler practices at 1153 Centre St, Boston, MA 02130. The listed phone number is (617) 983-7700.

What is Kimberly Dittler's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kimberly Dittler enrolled in Medicare?

Yes. Kimberly Dittler 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.

Is Kimberly Dittler affiliated with any hospitals?

According to CMS data, Kimberly Dittler 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 Kimberly Dittler was last updated on March 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.