NATHAN WAYNE LINGAFELTER
NPI 1104385566
Psychiatry & Neurology - Psychiatry in Salem, MA

Q: What is Nathan Lingafelter's NPI number?

The NPI number for Nathan Lingafelter is 1104385566. It was assigned to this individual provider in the NPPES registry on March 15, 2019.

Q: What is Nathan Lingafelter's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since March 15, 2019PECOS Enrolled

78.66/100

CMS Quality Rating

55 HIGHLAND AVE STE 201, SALEM, MA 01970(978) 825-6620 Get Directions Write a Review

NPPES record last updated: February 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2025, Aug 6, 2024, Mar 17, 2023 and 1 more (4 updates tracked since 2019).

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About Nathan Wayne Lingafelter NPPES

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

NATHAN WAYNE LINGAFELTER (NPI 1104385566) is an individual psychiatry provider in Salem, Massachusetts, licensed in Massachusetts (1014803) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1104385566

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameNATHAN WAYNE LINGAFELTER

Location Address55 HIGHLAND AVE STE 201Salem, MA 01970-2100

Mailing Address55 Highland Ave Ste 201Salem, MA 01970-2100 · (978) 825-6620

Phone(978) 825-6620

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 15, 2019

Last NPPES UpdateFebruary 23, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2025

✔ NPI 1104385566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MA · 1014803

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

55 HIGHLAND AVE STE 201, Salem, MA 01970

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Secondary Practice Location 1

Location 182 Marlborough StBoston, MA 02116-2020 · Phone (857) 371-8291

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Wayne Lingafelter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810381753

PECOS Enrollment IDI20230925002335

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 7

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.

89 services32 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.

82 services36 patients

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

62 services24 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

58 services58 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.

42 services23 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

21 services14 patients

Hospital Affiliations CMS Care Compare

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220035

Location81 Highland AvenueSalem, MA 01970 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01970 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

$177.36 typical visit price

range $58.86 – $177.36

Typical copayment $44.34 (range $14.71 – $44.34)

Most-billed visit code 99205

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

78.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.99

Promoting Interoperability

35.71

Improvement Activities

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Other Providers at the Same Location NPPES 11

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

KAREN MARIE CAPUTO LICSW

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