ANDREA P SORCINI MD
NPI 1063569093
Urology in Burlington, MA

Q: What is Andrea Sorcini's NPI number?

The NPI number for Andrea Sorcini is 1063569093. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Q: What is Andrea Sorcini's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Sorcini was last updated on October 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment

91.41/100

CMS Quality Rating

41 MALL RD., LAHEY CLINIC, BURLINGTON, MA 01805(781) 744-2406(781) 744-5429 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Andrea P Sorcini Md NPPES

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

ANDREA P SORCINI MD (NPI 1063569093) is an individual urology provider in Burlington, Massachusetts, licensed in Massachusetts (155805) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1063569093

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameANDREA P SORCINICredential: MD

Location Address41 MALL RD., LAHEY CLINICBurlington, MA 01805-0001

Mailing Address41 Mall Rd., Lahey ClinicBurlington, MA 01805-0001 · (781) 744-2406 · Fax (781) 744-5429

Phone(781) 744-2406

Fax(781) 744-5429

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateJanuary 4, 2007

Last NPPES UpdateOctober 9, 2012

✔ NPI 1063569093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MA · 155805

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

41 MALL RD., Burlington, MA 01805

Open in Google Maps ↗

Other Identifiers 4

Medicaid0118460MA

Medicare UPINH29833MA

Medicaid110001606AMA

Medicare PINA31938MA

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

Andrea P Sorcini 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 ID2668500646

PECOS Enrollment IDI20100512000652

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 16

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.

222 services190 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

192 services136 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.

162 services132 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

32 services32 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.

29 services29 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.

28 services26 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

21 services17 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.

21 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 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.

18 services18 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.

18 services18 patients

Partial removal of kidney 50240

Partial removal of a kidney, also known as partial nephrectomy, is a surgical procedure to remove a part of the kidney affected by disease while preserving the healthy tissue. It's often done to treat kidney cancer or to remove a benign tumor. This procedure helps maintain kidney function post-surgery.

16 services16 patients

Ultrasonic guidance during surgery 76998

Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.

14 services14 patients

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

14 services13 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.

14 services13 patients

Destruction and/or removal of large growth of bladder using an endoscope 52240

This procedure involves using a special instrument, an endoscope, to view and treat a large growth in the bladder. The growth is either destroyed or removed to alleviate symptoms and prevent further complications. It's a minimally invasive technique, enhancing recovery.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Emerson Hospital -

Acute Care Hospitals · W Concord, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220084

Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex 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

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

$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.

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 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

2 suppliers33 claims4,900 services$0.10 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

5 suppliers43 claims8,830 services$1.73 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers27 claims4,074 services$6.05 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

6 suppliers47 claims128 services$8.16 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

4 suppliers25 claims630 services$2.94 avg. paid by Medicare

Ostomy skin barrier, liquid (spray, brush, etc.), per oz A4369

DME-Orthotic Devices · category DF010N

3 suppliers18 claims45 services$2.35 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

5 suppliers39 claims1,380 services$4.83 avg. paid by Medicare

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393

DME-Orthotic Devices · category DF010N

2 suppliers15 claims390 services$8.25 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

4 suppliers16 claims232 services$2.50 avg. paid by Medicare

Ostomy belt with peristomal hernia support A4396

DME-Orthotic Devices · category DF010N

4 suppliers28 claims44 services$39.02 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

8 suppliers40 claims1,525 services$8.45 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

5 suppliers45 claims1,260 services$5.95 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414

DME-Orthotic Devices · category DF010N

6 suppliers52 claims1,740 services$4.54 avg. paid by Medicare

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each A4430

DME-Orthotic Devices · category DF010N

2 suppliers12 claims175 services$7.52 avg. paid by Medicare

Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432

DME-Orthotic Devices · category DF010N

9 suppliers132 claims4,410 services$3.42 avg. paid by Medicare

Adhesive remover or solvent (for tape, cement or other adhesive), per ounce A4455

DME-Medical/Surgical Supplies · category DA000N

4 suppliers20 claims53 services$1.31 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

7 suppliers63 claims4,360 services$0.22 avg. paid by Medicare

Bedside drainage bottle with or without tubing, rigid or expandable, each A5102

DME-Orthotic Devices · category DF000N

4 suppliers40 claims40 services$20.03 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

8 suppliers47 claims2,530 services$0.22 avg. paid by Medicare

Appliance cleaner, incontinence and ostomy appliances, per 16 oz. A5131

DME-Orthotic Devices · category DF000N

2 suppliers12 claims13 services$13.27 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

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.

JOSEPH E DUBIN

Internal Medicine

41 MALL RD., LAHEY CLINIC
BURLINGTON, MA 01805

Middlesex County (781) 744-7000

DR. JENNIFER COLES CHAPMAN M.D.

Emergency Medicine

41 MALL RD., LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805

Middlesex County (781) 744-8100

ANIKA PARAB M.D.

Emergency Medicine

41 MALL RD., LAHEY CLINIC
BURLINGTON, MA 01805

Middlesex County (781) 744-8100

STEPHANIE L LENZI DO

Internal Medicine (Hospice and Palliative Medicine)

41 MALL RD., LAHEY CLINIC
BURLINGTON, MA 01805

Middlesex County (781) 744-7000

DR. MICHELLE R MCSWEENEY DO

Radiology (Diagnostic Radiology)

41 MALL RD., LAHEY CLINIC
BURLINGTON, MA 01805

Middlesex County (781) 744-8170

ALEX J VANNI M.D.

Urology

41 MALL RD., LAHEY CLINIC
BURLINGTON, MA 01805

Middlesex County (781) 744-2511

GISELA HELD MD

Psychiatry & Neurology (Neurology)

41 MALL RD., LAHEY CLINIC
BURLINGTON, MA 01805

Middlesex County (781) 744-8170

SHAMS IFTIKHAR IQBAL MD

Radiology (Diagnostic Radiology)

41 MALL RD., LAHEY CLINIC
BURLINGTON, MA 01805

Middlesex County (781) 744-8170

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 Andrea Sorcini's NPI number?

The NPI number for Andrea Sorcini is 1063569093. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Andrea Sorcini located?

Andrea Sorcini practices at 41 Mall Rd. Lahey Clinic, Burlington, MA 01805. The listed phone number is (781) 744-2406.

What is Andrea Sorcini's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Andrea Sorcini enrolled in Medicare?

Yes. Andrea Sorcini 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 Andrea Sorcini accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Andrea Sorcini 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 Andrea Sorcini affiliated with any hospitals?

According to CMS data, Andrea Sorcini is affiliated with Northeast Hospital Corporation, Emerson Hospital -, Beth Israel Deaconess Medical Center and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Andrea Sorcini was last updated on October 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.