SCOTT SPERLING M.D.
NPI 1043570930
Internal Medicine - Endocrinology, Diabetes & Metabolism in Boston, MA

Q: What is Scott Sperling's NPI number?

The NPI number for Scott Sperling is 1043570930. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Q: What is Scott Sperling's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Scott Sperling was last updated on June 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 24, 2012PECOS EnrolledAccepts Medicare Assignment

91.41/100

CMS Quality Rating

800 WASHINGTON ST, BOX 268NB, BOSTON, MA 02111(617) 636-8932 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Scott Sperling M.d. NPPES

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

SCOTT SPERLING M.D. (NPI 1043570930) is an individual endocrinology, diabetes & metabolism provider in Boston, Massachusetts, licensed in Massachusetts (263246) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and is a graduate of University Of Maryland School Of Medicine (2012).

NPPES Registry Identity

NPI1043570930

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameSCOTT SPERLINGCredential: M.D.

Location Address800 WASHINGTON ST, BOX 268NBBoston, MA 02111-1552

Mailing Address800 Washington St, Box 268nbBoston, MA 02111-1552 · (617) 636-8932

Phone(617) 636-8932

Sole ProprietorYes

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2012

Enumeration DateMay 24, 2012

Last NPPES UpdateJune 15, 2015

✔ NPI 1043570930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in MA · 263246

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

800 WASHINGTON ST, Boston, MA 02111

Open in Google Maps ↗

Accepted Insurance

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

Scott Sperling 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 ID2769601590

PECOS Enrollment IDI20170801000227

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 12

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.

380 services313 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.

152 services46 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

99 services61 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

71 services71 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

65 services60 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.

32 services31 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

30 services29 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

27 services16 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.

24 services24 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

14 services14 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.

13 services13 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220029

Location25 Highland AvenueNewburyport, MA 01950 · Essex County

Emergency services Birthing friendly

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

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220086

Location330 Brookline AvenueBoston, MA 02215 · Suffolk 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 02111 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

Quality

76.87

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

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

80 suppliers200 claims766 services$6.24 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

37 suppliers82 claims151 services$0.98 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

2 suppliers11 claims11 services$310.81 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

20 suppliers332 claims339 services$186.42 avg. paid by Medicare

Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554

DME-Other DME · category DE017N

5 suppliers18 claims18 services$186.92 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.

PETER J CASTALDI M.D.

Internal Medicine

800 WASHINGTON ST, BOX 63
BOSTON, MA 02111

Suffolk County (617) 636-5000

MANUEL N PACHECO M.D.

Psychiatry & Neurology (Psychosomatic Medicine)

800 WASHINGTON ST, TUFTS MEDICAL CENTER BOX 1007
BOSTON, MA 02111

Suffolk County (617) 872-6522

DR. JEFFREY I LASKER MD

Pediatrics

800 WASHINGTON ST, DEPT. OF PEDIATRICS
BOSTON, MA 02111

Suffolk County (617) 636-5241

DR. JEFFREY MICHAEL CHAVIN M.D.

Psychiatry & Neurology (Neurology)

800 WASHINGTON ST, #314
BOSTON, MA 02111

Suffolk County (617) 636-7581

STEVE A BOGEN M.D., PH.D.

Pathology (Clinical Pathology/Laboratory Medicine)

800 WASHINGTON ST, BOX 115
BOSTON, MA 02111

Suffolk County (617) 636-1112

MS. KATHLEEN A COLEMAN NP

Nurse Practitioner

800 WASHINGTON ST, GI LIVER GROUP P.C.TUFTS MEDICAL CENTER
BOSTON, MA 02111

Suffolk County (617) 636-9502

DR. LUDWIG ERIK VON HAHN MD

Pediatrics (Developmental - Behavioral Pediatrics)

800 WASHINGTON ST, BOX 334
BOSTON, MA 02111

Suffolk County (617) 636-1307

LINDA A BISHOP MD

Pediatrics

800 WASHINGTON ST, BOX 286 DEPT. OF PEDIATRICS
BOSTON, MA 02111

Suffolk County (617) 636-5000

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 Scott Sperling's NPI number?

The NPI number for Scott Sperling is 1043570930. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Where is Scott Sperling located?

Scott Sperling practices at 800 Washington St Box 268nb, Boston, MA 02111. The listed phone number is (617) 636-8932.

What is Scott Sperling's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Scott Sperling enrolled in Medicare?

Yes. Scott Sperling 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 Scott Sperling accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Scott Sperling 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 Scott Sperling affiliated with any hospitals?

According to CMS data, Scott Sperling is affiliated with Anna Jaques Hospital, Northeast Hospital Corporation, Beth Israel Deaconess Medical Center, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Scott Sperling was last updated on June 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.