DOMINIC D PENNACHIO M.D.
NPI 1194830158
Internal Medicine in Chestnut Hill, MA

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
25 BOYLSTON ST, SUITE 204, CHESTNUT HILL, MA 02467(617) 754-0400 Get Directions Write a Review

NPPES record last updated: June 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominic D Pennachio M.d. NPPES

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

DOMINIC D PENNACHIO M.D. (NPI 1194830158) is an individual internal medicine provider in Chestnut Hill, Massachusetts, licensed in Massachusetts (56237) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital - Needham, and is a graduate of Yale University School Of Medicine (1984).

NPPES Registry Identity

NPI1194830158
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDOMINIC D PENNACHIOCredential: M.D.
Location Address25 BOYLSTON ST, SUITE 204Chestnut Hill, MA 02467-1715
Mailing Address25 Boylston St Ste 204Chestnut Hill, MA 02467-1710 · (617) 754-0400
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1984
Enumeration DateAugust 20, 2006
Last NPPES UpdateJune 4, 2008
NPI 1194830158 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 · 56237
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 BOYLSTON ST, Chestnut Hill, MA 02467

Other Identifiers 4

Medicare PINJ06834MA
Medicaid3025691MA
Medicare UPINA59214MA
OtherJ06834MA · Blue Cross

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

Dominic D Pennachio 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 ID7214984202
PECOS Enrollment IDI20050401000323
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 9

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.
917 services433 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
346 services346 patients
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.
165 services118 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
133 services130 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
132 services129 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
44 services44 patients

Hospital Affiliations CMS Care Compare 5

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

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220083
Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County
Emergency services

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Beth Israel Deaconess Hospital - Milton

Acute Care Hospitals · Milton, MA
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number220108
Location199 Reedsdale RoadMilton, MA 02186 · Norfolk County
Emergency services

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02467 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers27 claims74 services$5.79 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers11 claims210 services$4.61 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 supplier15 claims15 services$63.92 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.

Internal Medicine (Nephrology)
25 BOYLSTON ST, SUITE 308
CHESTNUT HILL, MA 02467
Allergy & Immunology (Allergy)
25 BOYLSTON ST, SUITE 215
CHESTNUT HILL, MA 02467
Pediatrics
25 BOYLSTON ST, SUITE 112
CHESTNUT HILL, MA 02467
Dentist (General Practice)
25 BOYLSTON ST, SUITE L15
CHESTNUT HILL, MA 02467
Clinic/Center (Primary Care)
25 BOYLSTON ST, SUITE 308
CHESTNUT HILL, MA 02467
Internal Medicine
25 BOYLSTON ST, STE. 204
CHESTNUT HILL, MA 02467
Exclusive Provider Organization
25 BOYLSTON ST, SUITE 211
CHESTNUT HILL, MA 02467
Dietitian, Registered
25 BOYLSTON ST, SUITE 312
CHESTNUT HILL, MA 02467

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 Dominic Pennachio's NPI number?

The NPI number for Dominic Pennachio is 1194830158. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Dominic Pennachio located?

Dominic Pennachio practices at 25 Boylston St Suite 204, Chestnut Hill, MA 02467. The listed phone number is (617) 754-0400.

What is Dominic Pennachio's specialty?

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

Is Dominic Pennachio enrolled in Medicare?

Yes. Dominic Pennachio 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.

Is Dominic Pennachio affiliated with any hospitals?

According to CMS data, Dominic Pennachio is affiliated with Beth Israel Deaconess Hospital - Needham, Beth Israel Deaconess Medical Center, South Shore Hospital, Beth Israel Deaconess Hospital - Milton and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Dominic Pennachio was last updated on June 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.