1. Home
  2. Directory
  3. Massachusetts
  4. Burlington
  5. Orthopaedic Surgery
  6. NPI Profile

ANDREW J MARCANTONIO D.O.
NPI 1154511293
Orthopaedic Surgery in Burlington, MA

Active since July 25, 2007PECOS Enrolled
91.41/100
CMS Quality Rating
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805(781) 744-8650(781) 744-5345 Get Directions Write a Review

NPPES record last updated: March 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew J Marcantonio D.o. NPPES

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

ANDREW J MARCANTONIO D.O. (NPI 1154511293) is an individual orthopaedic surgery provider in Burlington, Massachusetts, licensed in Massachusetts (231556) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154511293
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameANDREW J MARCANTONIOCredential: D.O.
Location AddressLAHEY CLINIC, 41 MALL RD.Burlington, MA 01805-0001
Mailing AddressLahey Clinic, 41 Mall Rd.Burlington, MA 01805-0001 · (781) 744-8650 · Fax (781) 744-5345
Phone(781) 744-8650
Fax(781) 744-5345
Sole ProprietorNo
Enumeration DateJuly 25, 2007
Last NPPES UpdateMarch 16, 2011
✔ NPI 1154511293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MA · 231556
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
LAHEY CLINIC, Burlington, MA 01805
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN000180901MA
Medicaid110077211AMA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew J Marcantonio D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.
134 services114 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.
103 services103 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.
69 services64 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
25 services24 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.
16 services16 patients

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
$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.

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
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

KRISTEN M ROBSON MD
Internal Medicine (Gastroenterology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8699
DR. THOMAS M BRAND M.D.
Emergency Medicine
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
CHRISTINE B. THOMAS M.D.
Pathology (Anatomic Pathology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
DAVID A ROSMAN M.D.
Radiology (Diagnostic Radiology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8170
FREDERICK W HEISS MD
Internal Medicine (Gastroenterology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-5100
DR. STEPHEN R FREIDBERG MD
Neurological Surgery
LAHEY CLINIC, 41 MALL RD.
BURLINGTON, MA 01805
Middlesex County (781) 744-8085
JULIE ALAYNE OUELLETTE C.R.N.A.
Nurse Anesthetist, Certified Registered
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8132
DR. JONATHAN S. SILVER M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8460

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 Andrew Marcantonio's NPI number?

The NPI number for Andrew Marcantonio is 1154511293. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Andrew Marcantonio located?

Andrew Marcantonio practices at Lahey Clinic 41 Mall Rd., Burlington, MA 01805. The listed phone number is (781) 744-8650.

What is Andrew Marcantonio's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Andrew Marcantonio enrolled in Medicare?

Yes. Andrew Marcantonio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Marcantonio was last updated on March 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.