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EILEEN WEGENER MD
NPI 1174181630
Internal Medicine in Medford, MA

Active since May 30, 2019PECOS EnrolledAccepts Medicare Assignment
170 GOVERNORS AVE, MEDFORD, MA 02155(781) 306-6102 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2022, May 30, 2019 (2 updates tracked since 2019).

About Eileen Wegener Md NPPES

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

EILEEN WEGENER MD (NPI 1174181630) is an individual internal medicine provider in Medford, Massachusetts, licensed in Massachusetts (295103) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174181630
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameEILEEN WEGENERCredential: MD
Location Address170 GOVERNORS AVEMedford, MA 02155-1643
Mailing Address170 Governors AveMedford, MA 02155-1643 · (781) 306-6102
Phone(781) 306-6102
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 30, 2019
Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1174181630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 295103
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
170 GOVERNORS AVE, Medford, MA 02155
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eileen Wegener Md 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 ID5193192714
PECOS Enrollment IDI20221110000753
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 2

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.
62 services52 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 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.

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.

ELLEN DIANA KLEE NP
Nurse Practitioner (Adult Health)
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL-DIABETES CENTER
MEDFORD, MA 02155
Middlesex County (781) 306-6370
MRS. KERRI ANNE DEWOLF
Social Worker (Clinical)
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 306-6157
SHARON HALL RNCS
Clinical Nurse Specialist (Psychiatric/Mental Health)
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL
MEDFORD, MA 02155
Middlesex County (781) 306-6150
MICHELLE VIDAL LICSW
Social Worker (Clinical)
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL
MEDFORD, MA 02155
Middlesex County (781) 306-6008
ANDREA MESSINA N.P.
Nurse Practitioner (Adult Health)
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 306-6000
DR. JOSEPH M MURPHY JR. M.D.
Internal Medicine
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 391-4106
MRS. CAMILLE ROSE ROSSETTI P.T.A.
Physical Therapy Assistant
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 395-7750
MS. JESSICA HARNEY DPT, OT
Occupational Therapist
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 395-7750

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 Eileen Wegener's NPI number?

The NPI number for Eileen Wegener is 1174181630. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Eileen Wegener located?

Eileen Wegener practices at 170 Governors Ave, Medford, MA 02155. The listed phone number is (781) 306-6102.

What is Eileen Wegener's specialty?

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

Is Eileen Wegener enrolled in Medicare?

Yes. Eileen Wegener 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 Eileen Wegener accept?

Health plans from Anthem Blue Cross and Blue Shield list Eileen Wegener 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 Eileen Wegener affiliated with any hospitals?

According to CMS data, Eileen Wegener is affiliated with Melrosewakefield Healthcare.

When was this NPI record last updated?

The NPPES record for Eileen Wegener was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.