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DR. MICHELLE DALENCOUR M.D.
NPI 1073873006
Family Medicine in Mattapan, MA

Active since May 23, 2012PECOS EnrolledAccepts Medicare Assignment
1575 BLUE HILL AVE, MATTAPAN, MA 02126(617) 296-0061 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michelle Dalencour M.d. NPPES

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

DR. MICHELLE DALENCOUR M.D. (NPI 1073873006) is an individual family medicine provider in Mattapan, Massachusetts, licensed in Massachusetts (263506) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Emerson Hospital -, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1073873006
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHELLE DALENCOURCredential: M.D.
Location Address1575 BLUE HILL AVEMattapan, MA 02126-2122
Mailing Address1575 Blue Hill AveMattapan, MA 02126-2122 · (617) 296-0061
Phone(617) 296-0061
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 23, 2012
Last NPPES UpdateJuly 18, 2016
✔ NPI 1073873006 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 · 263506
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.
1575 BLUE HILL AVE, Mattapan, MA 02126
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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. Michelle Dalencour 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 ID4789818287
PECOS Enrollment IDI20181214000361
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 9

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 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.
147 services142 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.
71 services71 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
62 services59 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
61 services59 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.
59 services59 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
39 services38 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02126 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
$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.

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.

SAMSON YU
Pharmacist
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 898-1282
CVS PHARMACY INC
Pharmacy
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 898-1282
ZHEN RUAN
Dental Hygienist
1575 BLUE HILL AVE
BOSTON, MA 02126
Suffolk County (617) 296-0061
DR. JASON LANIER OUTLAW DMD, DMSC
Dentist
1575 BLUE HILL AVE
BOSTON, MA 02126
Suffolk County (617) 296-0061
EMILY CASTELLANOS
Counselor (Mental Health)
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
MS. SHAUNTELLE MALCOLM RN
Nurse Practitioner (Psychiatric/Mental Health)
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
VICTORIA ELENA OLIVA RAPOPORT MD
Family Medicine
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
TIN DANG
Pharmacist
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 898-1282

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 Michelle Dalencour's NPI number?

The NPI number for Michelle Dalencour is 1073873006. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is Michelle Dalencour located?

Michelle Dalencour practices at 1575 Blue Hill Ave, Mattapan, MA 02126. The listed phone number is (617) 296-0061.

What is Michelle Dalencour's specialty?

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

Is Michelle Dalencour enrolled in Medicare?

Yes. Michelle Dalencour 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.

Is Michelle Dalencour affiliated with any hospitals?

According to CMS data, Michelle Dalencour is affiliated with Emerson Hospital -.

When was this NPI record last updated?

The NPPES record for Michelle Dalencour was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.