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MARIA RATCHKOVA M.D.
NPI 1164692943
Internal Medicine in Newburyport, MA

Active since March 07, 2008PECOS EnrolledAccepts Medicare Assignment
25 HIGHLAND AVE, AJH HOSPITALIST PROGRAM, NEWBURYPORT, MA 01950(978) 463-1383 Get Directions Write a Review

NPPES record last updated: February 1, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maria Ratchkova M.d. NPPES

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

MARIA RATCHKOVA M.D. (NPI 1164692943) is an individual internal medicine provider in Newburyport, Massachusetts, licensed in Massachusetts (234709) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1164692943
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARIA RATCHKOVACredential: M.D.
Location Address25 HIGHLAND AVE, AJH HOSPITALIST PROGRAMNewburyport, MA 01950-3867
Mailing Address24 Morrill PlAmesbury, MA 01913-3530 · (978) 834-8074 · Fax (978) 834-8077
Phone(978) 463-1383
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 7, 2008
Last NPPES UpdateFebruary 1, 2011
✔ NPI 1164692943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 234709
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
25 HIGHLAND AVE, Newburyport, MA 01950
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maria Ratchkova 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 ID1951470566
PECOS Enrollment IDI20080522000450
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Maria Ratchkova reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beth Israel Lahey Health Primary Care, Inc.
8.3 mi
Clinic/Center
223-225 LINCOLN AVE., SUITE 231A
Haverhill, MA 01830
  • Reassigned Medicare billing, Massachusetts enrollment
  • 410 clinicians in this Medicare group
NPI 1174042337 (774) 373-8630
Lahey Clinic, Inc
19 mi
Internal Medicine
1 ESSEX CENTER DR
Peabody, MA 01960
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1538194980 (Massachusetts)
  • 1,841 clinicians in this Medicare group
NPI 1063447316 (781) 744-8000
Mass General Brigham Medical Group Northern Massachusetts Inc
21 mi
Emergency Medicine
81 HIGHLAND AVE
Salem, MA 01970
  • Reassigned Medicare billing, Massachusetts enrollment
  • 994 clinicians in this Medicare group
NPI 1588606123 (978) 354-4173

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 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.
353 services177 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.
300 services169 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
223 services221 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.
115 services115 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.
48 services48 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.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

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

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01950 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier38 claims38 services$13.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier38 claims38 services$63.39 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.

JOHN MCLAULIN M.D.
Emergency Medicine
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Essex County (978) 463-1050
DR. JESSICA LEE HEATH MD
Anesthesiology
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Essex County (603) 660-4578
DR. BETHANY A BISHOP DANIELS M.D.
Emergency Medicine
25 HIGHLAND AVE, ANNA JAQUES HOSPITAL- EMERGENCY DEPT
NEWBURYPORT, MA 01950
Essex County (978) 463-1050
BROOKE ELWELL PA-C
Physician Assistant
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Essex County (978) 463-1000
ELIZABETH ANN PESCOSOLIDO
Nurse Anesthetist, Certified Registered
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Essex County (603) 969-4606
MRS. TRACY J WILBRAHAM NP
Nurse Practitioner (Psychiatric/Mental Health)
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Essex County (617) 362-6848
DR. MICHELLE R LAFLAMME D.O.
Emergency Medicine
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Essex County (978) 463-1050
ASMA UL HOSNA MD
Hospitalist
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Essex County (978) 463-1000

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 Maria Ratchkova's NPI number?

The NPI number for Maria Ratchkova is 1164692943. It was assigned to this individual provider in the NPPES registry on March 7, 2008.

Where is Maria Ratchkova located?

Maria Ratchkova practices at 25 Highland Ave Ajh Hospitalist Program, Newburyport, MA 01950. The listed phone number is (978) 463-1383.

What is Maria Ratchkova's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maria Ratchkova enrolled in Medicare?

Yes. Maria Ratchkova 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.

Which organizations bill Medicare for Maria Ratchkova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Ratchkova reassigns Medicare benefits to 3 organizations: Beth Israel Lahey Health Primary Care, Inc. (Haverhill, MA), Lahey Clinic, Inc (Peabody, MA) and Mass General Brigham Medical Group Northern Massachusetts Inc (Salem, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maria Ratchkova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Ratchkova accept?

Health plans from Anthem Blue Cross and Blue Shield list Maria Ratchkova 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 Maria Ratchkova affiliated with any hospitals?

According to CMS data, Maria Ratchkova is affiliated with Northeast Hospital Corporation, North Shore Medical Center - and Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Maria Ratchkova was last updated on February 1, 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.