DR. JAMES LECH M.D.
NPI 1245397819
Psychiatry & Neurology - Psychiatry in Boston, MA

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
133 BROOKLINE AVE, BOSTON, MA 02215(617) 421-1157 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. James Lech M.d. NPPES

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

DR. JAMES LECH M.D. (NPI 1245397819) is an individual psychiatry provider in Boston, Massachusetts, licensed in Massachusetts (237684) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1245397819
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JAMES LECHCredential: M.D.
Location Address133 BROOKLINE AVEBoston, MA 02215-3904
Mailing Address133 Brookline AveBoston, MA 02215-3904 · (617) 421-1157
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJanuary 24, 2019
✔ NPI 1245397819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in MA · 237684✔ Licensed in MA · 224697
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
133 BROOKLINE AVE, Boston, MA 02215

Other Identifiers 1

Medicaid110085709AMA

Accepted 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

Dr. James Lech 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 ID6608056635
PECOS Enrollment IDI20110209000134
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

5

Medicare enrollment records show James Lech reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
800 WASHINGTON ST, BOX 1013
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 90 clinicians in this Medicare group
Clinic/Center
1493 CAMBRIDGE ST
Cambridge, MA 02139
  • Reassigned Medicare billing, Massachusetts enrollment
  • 362 clinicians in this Medicare group
Internal Medicine
170 GOVERNORS AVE
Medford, MA 02155
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Melrosewakefield Healthcare, Inc
  • 140 clinicians in this Medicare group
Family Medicine
170 GOVERNORS AVE, ATTN: PROVIDER ENROLLMENT
Medford, MA 02155
  • Reassigned Medicare billing, Massachusetts enrollment
  • 246 clinicians in this Medicare group
Psychiatric Hospital
100 HOSPITAL RD STE 1000
Malden, MA 02148
  • Reassigned Medicare billing, Massachusetts enrollment

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 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.

Therapy using electrical currents 90870
Therapy using electrical currents, also known as electrotherapy, involves applying small electrical pulses to your body to stimulate healing. It can help manage pain, improve circulation, repair tissues, and strengthen muscles. It's a safe, non-invasive treatment often used in physical therapy.
112 services13 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.
27 services17 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 02215 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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.

Nurse Practitioner (Family)
133 BROOKLINE AVE
BOSTON, MA 02215
Nurse Practitioner (Adult Health)
133 BROOKLINE AVE
BOSTON, MA 02215
Psychiatry & Neurology (Psychiatry)
133 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
133 BROOKLINE AVE, INTERNAL MEDICINE
BOSTON, MA 02215
Social Worker
133 BROOKLINE AVE
BOSTON, MA 02215
Registered Nurse
133 BROOKLINE AVE
BOSTON, MA 02215
Genetic Counselor, MS
133 BROOKLINE AVE
BOSTON, MA 02215
Technician/Technologist (Optician)
133 BROOKLINE AVE
BOSTON, MA 02215

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 James Lech's NPI number?

The NPI number for James Lech is 1245397819. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is James Lech located?

James Lech practices at 133 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 421-1157.

What is James Lech's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is James Lech enrolled in Medicare?

Yes. James Lech 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 James Lech's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Lech reassigns Medicare benefits to 5 organizations: Pratt Psychiatric Associates, Inc (Boston, MA), Cambridge Public Health Commission (Cambridge, MA), Hallmark Health System Inc (Medford, MA), Hallmark Health Medical Associates Inc (Medford, MA) and Acadia-Tufts Medicine Jv, LLC (Malden, 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 James Lech's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Lech accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list James Lech 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 James Lech affiliated with any hospitals?

According to CMS data, James Lech is affiliated with Melrosewakefield Healthcare.

When was this NPI record last updated?

The NPPES record for James Lech was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.