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DR. EDWARD MICHAEL DUSSOM MD
NPI 1053805457
Surgery in Brighton, MA

Active since June 19, 2018PECOS EnrolledAccepts Medicare Assignment
736 CAMBRIDGE ST, BRIGHTON, MA 02135(617) 789-3000 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2025, Jun 19, 2018 (2 updates tracked since 2018).

About Dr. Edward Michael Dussom Md NPPES

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

DR. EDWARD MICHAEL DUSSOM MD (NPI 1053805457) is an individual surgery provider in Brighton, Massachusetts, licensed in Massachusetts (1016197) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2018).

NPPES Registry Identity

NPI1053805457
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. EDWARD MICHAEL DUSSOMCredential: MD
Location Address736 CAMBRIDGE STBrighton, MA 02135-2907
Mailing Address960 Massachusetts Avenue, Fl 2Boston, MA 02118-2690
Phone(617) 789-3000
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2018
Enumeration DateJune 19, 2018
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1053805457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MA · 1016197✔ Licensed in MA · 276408
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
736 CAMBRIDGE ST, Brighton, MA 02135
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Other Identifiers 1

Medicaid110150184AMA

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. Edward Michael Dussom 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 ID3274887740
PECOS Enrollment IDI20231226000946
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.

Hospital Affiliations CMS Care Compare 2

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

St Elizabeth's Medical Center

Acute Care Hospitals · Brighton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220036
Location736 Cambridge StreetBrighton, MA 02135 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02135 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
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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.

SOOWHAN LAH M.D.
Internal Medicine
736 CAMBRIDGE ST, INTERNAL MEDICINE RESIDENCY PROGRAM - MAILBOX #13
BOSTON, MA 02135
Suffolk County (503) 886-9722
DR. MAHENDRA CARPEN MD
Internal Medicine (Cardiovascular Disease)
736 CAMBRIDGE ST, DEPT. OF CARDIOLOGY
BRIGHTON, MA 02135
Suffolk County (617) 789-5151
MONIKA BATRA
Psychiatry & Neurology (Psychiatry)
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Suffolk County (617) 789-3000
RONYA OZTURK
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BOSTON, MA 02135
Suffolk County (617) 789-3000
ALEXANDER H HU MD
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Suffolk County (617) 789-3000
DR. ANAS AHMED SAMBAWAH M.D
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Suffolk County (617) 789-2990
ORFEAS LIANGOS M.D.
Internal Medicine (Nephrology)
736 CAMBRIDGE ST, ST ELIZABETHS MED CTR
BOSTON, MA 02135
Suffolk County (617) 789-3100
LORI H ADCOCK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Suffolk County (617) 789-2740

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 Edward Dussom's NPI number?

The NPI number for Edward Dussom is 1053805457. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Edward Dussom located?

Edward Dussom practices at 736 Cambridge St, Brighton, MA 02135. The listed phone number is (617) 789-3000.

What is Edward Dussom's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Edward Dussom enrolled in Medicare?

Yes. Edward Dussom 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 Edward Dussom accept?

Health plans from Anthem Blue Cross and Blue Shield list Edward Dussom 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 Edward Dussom affiliated with any hospitals?

According to CMS data, Edward Dussom is affiliated with Boston Medical Center and St Elizabeth's Medical Center.

When was this NPI record last updated?

The NPPES record for Edward Dussom was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.