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DR. JASON ANDREW FAWLEY M.D.
NPI 1114218146
Surgery in Bost, MA

Active since April 25, 2011PECOS EnrolledAccepts Medicare Assignment
15 PARKMAN STREET, CHURCHILL SURGICAL CLINIC, BOST, MA 02114(617) 643-7557 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2019, Sep 4, 2019, Aug 12, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Jason Andrew Fawley M.d. NPPES

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

DR. JASON ANDREW FAWLEY M.D. (NPI 1114218146) is an individual surgery provider in Bost, Massachusetts, licensed in Massachusetts (280467) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2011).

NPPES Registry Identity

NPI1114218146
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JASON ANDREW FAWLEYCredential: M.D.
Location Address15 PARKMAN STREET, CHURCHILL SURGICAL CLINICBost, MA 02114-3117
Mailing Address165 Cambridge St Ste 810Boston, MA 02114-2747
Phone(617) 643-7557
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2011
Enumeration DateApril 25, 2011
Last NPPES UpdateOctober 4, 20194 updates tracked since enumeration
✔ NPI 1114218146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 280467
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.

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 280467 (MA)
15 PARKMAN STREET, Bost, MA 02114
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Other Identifiers 1

Medicaid1114218146WI

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. Jason Andrew Fawley 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 ID7911253992
PECOS Enrollment IDI20220812001685
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 4

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.

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.
206 services89 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
59 services59 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
39 services15 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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.

DR. RONALD JON KULICH PHD
Psychologist
15 PARKMAN STREET, WAC 3 ANESTHESIA PAIN MANAGEMENT
BOSTON, MA 02114
Suffolk County (617) 726-3332
MATTHEW J BELLANICH NP
Nurse Practitioner
15 PARKMAN STREET, WAC 8 MGH NEUROLOGY ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 724-3914
DR. LAURA J HU MD
Internal Medicine
15 PARKMAN STREET, WAC605 INTERNAL MEDICINE ASSOCIATES TEAM 2
BOSTON, MA 02114
Suffolk County (617) 724-8400
JENNIFER BURBRIDGE PHD
Psychologist
15 PARKMAN STREET, WAC 8 MGH PSYCHIATRY SERVICES
BOSTON, MA 02114
Suffolk County (617) 724-6300
DR. DANIEL EDWIN SINGER MD
Internal Medicine
15 PARKMAN STREET, WAC 635 INTERNAL MEDICINE ASSOCIATES TEAM 3
BOSTON, MA 02114
Suffolk County (617) 726-8157
MICHELLE L'HEUREUX M.D.
Internal Medicine
15 PARKMAN STREET, WANG AMBULATORY CARE CENTER FLOOR 6
BOSTON, MA 02114
Suffolk County (800) 711-4644
DR. NANCY J KEUTHEN PHD
Psychologist
15 PARKMAN STREET, WANG AMBULATORY CARE CENTER 815
BOSTON, MA 02114
Suffolk County (617) 726-4074
JENNIFER D GOTTLIEB PHD
Psychologist
15 PARKMAN STREET, PSYCHIATRY SERVICE WAC 8
BOSTON, MA 02114
Suffolk County (617) 724-5600

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 Jason Fawley's NPI number?

The NPI number for Jason Fawley is 1114218146. It was assigned to this individual provider in the NPPES registry on April 25, 2011.

Where is Jason Fawley located?

Jason Fawley practices at 15 Parkman Street Churchill Surgical Clinic, Bost, MA 02114. The listed phone number is (617) 643-7557.

What is Jason Fawley's specialty?

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

Is Jason Fawley enrolled in Medicare?

Yes. Jason Fawley 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.

When was this NPI record last updated?

The NPPES record for Jason Fawley was last updated on October 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.