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THOMAS C PIEMONTE M.D.
NPI 1225134067
Internal Medicine - Interventional Cardiology in Burlington, MA

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805(781) 744-8254(781) 744-3510 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Thomas C Piemonte M.d. NPPES

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

THOMAS C PIEMONTE M.D. (NPI 1225134067) is an individual interventional cardiology provider in Burlington, Massachusetts, licensed in Massachusetts (41826) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1225134067
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameTHOMAS C PIEMONTECredential: M.D.
Location AddressLAHEY CLINIC, 41 MALL RD.Burlington, MA 01805-0001
Mailing Address41 Mall RdBurlington, MA 01805-0001 · (781) 744-8254 · Fax (781) 744-3510
Phone(781) 744-8254
Fax(781) 744-3510
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateSeptember 16, 2006
Last NPPES UpdateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
✔ NPI 1225134067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in MA · 41826
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 41826 (MA)
LAHEY CLINIC, Burlington, MA 01805
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Other Identifiers 1

Medicaid110003314AMA

Accepted Insurance

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

Thomas C Piemonte 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 ID2365491040
PECOS Enrollment IDI20050120000166, I20240618000938
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 10

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.
91 services87 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
70 services67 patients
Insertion of tube in coronary artery for diagnosis with review by radiologist 93454
This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.
50 services50 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
43 services43 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
36 services36 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.
32 services31 patients

Hospital Affiliations CMS Care Compare 4

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

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex 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 2

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

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 supplier11 claims11 services$68.30 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$32.77 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.

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 Thomas Piemonte's NPI number?

The NPI number for Thomas Piemonte is 1225134067. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Thomas Piemonte located?

Thomas Piemonte practices at Lahey Clinic 41 Mall Rd., Burlington, MA 01805. The listed phone number is (781) 744-8254.

What is Thomas Piemonte's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Thomas Piemonte enrolled in Medicare?

Yes. Thomas Piemonte 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 Thomas Piemonte accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Thomas Piemonte 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 Thomas Piemonte affiliated with any hospitals?

According to CMS data, Thomas Piemonte is affiliated with Northeast Hospital Corporation, Emerson Hospital -, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Thomas Piemonte was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.