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MARK T. COLLINS MD
NPI 1073550661
Family Medicine in Bolton, MA

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
563 MAIN ST, BOLTON, MA 01740(978) 586-3939(978) 586-3955 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2022, Oct 24, 2020, Dec 20, 2017 and 2 more (5 updates tracked since 2016).

About Mark T. Collins Md NPPES

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

MARK T. COLLINS MD (NPI 1073550661) is an individual family medicine provider in Bolton, Massachusetts, licensed in Massachusetts (220849) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of University Of California, Geffen School Of Medicine (1996).

NPPES Registry Identity

NPI1073550661
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK T. COLLINSCredential: MD
Location Address563 MAIN STBolton, MA 01740-1300
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(978) 586-3939
Fax(978) 586-3955
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1996
Enumeration DateJune 1, 2006
Last NPPES UpdateJanuary 28, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2022
✔ NPI 1073550661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 220849
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
563 MAIN ST, Bolton, MA 01740
Open in Google Maps ↗

Other Identifiers 1

Medicaid2060256MA

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

Mark T. Collins 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 ID143290247
PECOS Enrollment IDI20040727001215
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 10

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.
166 services124 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
106 services106 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.
85 services60 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
63 services60 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
50 services50 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.
48 services46 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01740 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
7 suppliers12 claims37 services$6.24 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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TMJ & SLEEP THERAPY CENTRE OF NEW ENGLAND
Dentist (Orofacial Pain)
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 779-0865
ANAS ALHOSSIN
Dentist
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 779-2888
ROBIN J BONAZZOLI LIC. AC.
Acupuncturist
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 779-9872
MICHAEL SCHLEWET M.D
Otolaryngology
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 705-2755
BOLTON GENERAL & COSMETIC DENTISTRY PC
Dentist (General Practice)
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 779-2888
LINDA FARNSWORTH BROWN M.D.
Family Medicine
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 586-3939
HANNAH ELIZABETH NOYES
Dentist (General Practice)
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 779-2888
PROF. AMPARO M DAVID D.M.D.
Dentist (General Practice)
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 779-2888

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 Mark Collins's NPI number?

The NPI number for Mark Collins is 1073550661. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Mark Collins located?

Mark Collins practices at 563 Main St, Bolton, MA 01740. The listed phone number is (978) 586-3939.

What is Mark Collins's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Collins enrolled in Medicare?

Yes. Mark Collins 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 Mark Collins accept?

Health plans from Anthem Blue Cross and Blue Shield list Mark Collins 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 Mark Collins affiliated with any hospitals?

According to CMS data, Mark Collins is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Mark Collins was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.