ADAM M SEGAL M.D.
NPI 1164480810
Internal Medicine - Nephrology in Burlington, MA

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON, MA 01805(781) 744-8430(781) 744-5397 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adam M Segal M.d. NPPES

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

ADAM M SEGAL M.D. (NPI 1164480810) is an individual nephrology provider in Burlington, Massachusetts, licensed in Massachusetts (227171) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1164480810
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameADAM M SEGALCredential: M.D.
Location Address41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTERBurlington, MA 01805-0001
Mailing Address41 Mall Road, Lahey Hospital & Medical CenterBurlington, MA 01805-0001 · (781) 744-8430 · Fax (781) 744-5397
Fax(781) 744-5397
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 3, 2006
Last NPPES UpdateMay 3, 2018
NPI 1164480810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MA · 227171
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

41 MALL ROAD, Burlington, MA 01805

Accepted 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

Adam M Segal 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 ID6406869437
PECOS Enrollment IDI20060717000137
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 11

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.
297 services192 patients
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.
225 services103 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.
176 services111 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
115 services65 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
64 services63 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
62 services35 patients

Hospital Affiliations CMS Care Compare 5

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

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
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.

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

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims780 services$0.26 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims3,120 services$0.17 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier15 claims18 services$11.18 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 20

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

Obstetrics & Gynecology
41 MALL ROAD
BURLINGTON, MA 01805
Internal Medicine (Nephrology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Radiology (Diagnostic Radiology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Nurse Anesthetist, Certified Registered
41 MALL ROAD
BURLINGTON, MA 01805
Internal Medicine (Gastroenterology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Hospitalist
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805
Nurse Practitioner (Psychiatric/Mental Health)
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805
Nurse Practitioner (Family)
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805

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 Adam Segal's NPI number?

The NPI number for Adam Segal is 1164480810. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Adam Segal located?

Adam Segal practices at 41 Mall Road Lahey Hospital & Medical Center, Burlington, MA 01805. The listed phone number is (781) 744-8430.

What is Adam Segal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Adam Segal enrolled in Medicare?

Yes. Adam Segal 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 Adam Segal accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Adam Segal 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 Adam Segal affiliated with any hospitals?

According to CMS data, Adam Segal is affiliated with Anna Jaques Hospital, Northeast Hospital Corporation, Beth Israel Deaconess Medical Center, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Adam Segal was last updated on May 3, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.