DR. MATTHEW E TILEM MD
NPI 1033202353
Psychiatry & Neurology - Vascular Neurology in Burlington, MA

Active since September 30, 2006PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805(781) 744-8000(781) 744-5581 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Matthew E Tilem Md NPPES

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

DR. MATTHEW E TILEM MD (NPI 1033202353) is an individual vascular neurology provider in Burlington, Massachusetts, licensed in Massachusetts (220524) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Tufts University School Of Medicine (2000).

NPPES Registry Identity

NPI1033202353
Entity TypeIndividualMale
Primary Taxonomy2084V0102X
Provider Legal NameDR. MATTHEW E TILEMCredential: MD
Location AddressLAHEY CLINIC, 41 MALL ROADBurlington, MA 01805-0001
Mailing AddressLahey Clinic, 41 Mall RoadBurlington, MA 01805-0001 · (781) 744-8000 · Fax (781) 744-5581
Fax(781) 744-5581
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2000
Enumeration DateSeptember 30, 2006
Last NPPES UpdateFebruary 16, 2011
NPI 1033202353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
License Licensed in MA · 220524
Definition

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

LAHEY CLINIC, Burlington, MA 01805

Other Identifiers 3

Medicare ID-Type UnspecifiedA37044MA
Medicare UPINI09497MA
Medicaid110038245AMA

Accepted 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. Matthew E Tilem 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 ID2567432289
PECOS Enrollment IDI20040729001057
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 11

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 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.
180 services147 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.
153 services75 patients
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 services93 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.
72 services71 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.
44 services44 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.
40 services40 patients

Hospital Affiliations CMS Care Compare 3

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

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

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

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.

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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers13 claims13 services$32.89 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier17 claims17 services$27.44 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.

Internal Medicine (Gastroenterology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Emergency Medicine
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Pathology (Anatomic Pathology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Radiology (Diagnostic Radiology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Internal Medicine (Gastroenterology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Neurological Surgery
LAHEY CLINIC, 41 MALL RD.
BURLINGTON, MA 01805
Nurse Anesthetist, Certified Registered
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Internal Medicine (Clinical Cardiac Electrophysiology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805

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 Matthew Tilem's NPI number?

The NPI number for Matthew Tilem is 1033202353. It was assigned to this individual provider in the NPPES registry on September 30, 2006.

Where is Matthew Tilem located?

Matthew Tilem practices at Lahey Clinic 41 Mall Road, Burlington, MA 01805. The listed phone number is (781) 744-8000.

What is Matthew Tilem's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Matthew Tilem enrolled in Medicare?

Yes. Matthew Tilem 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 Matthew Tilem accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Matthew Tilem 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 Matthew Tilem affiliated with any hospitals?

According to CMS data, Matthew Tilem is affiliated with Northeast Hospital Corporation, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Matthew Tilem was last updated on February 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.