PAUL J. HESKETH MD
NPI 1265427181
Internal Medicine - Hematology & Oncology in Burlington, MA

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805(781) 744-8400(781) 744-5245 Get Directions Write a Review

NPPES record last updated: November 8, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul J. Hesketh Md NPPES

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

PAUL J. HESKETH MD (NPI 1265427181) is an individual hematology & oncology provider in Burlington, Massachusetts, licensed in Massachusetts (46159) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of University Of Connecticut School Of Medicine (1978).

NPPES Registry Identity

NPI1265427181
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NamePAUL J. HESKETHCredential: MD
Location AddressLAHEY CLINIC, 41 MALL RD.Burlington, MA 01805-0001
Mailing AddressLahey Clinic, 41 Mall Rd.Burlington, MA 01805-0001 · (781) 744-8400 · Fax (781) 744-5245
Fax(781) 744-5245
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1978
Enumeration DateSeptember 16, 2005
Last NPPES UpdateNovember 8, 2010
NPI 1265427181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in MA · 46159
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

LAHEY CLINIC, Burlington, MA 01805

Other Identifiers 4

Medicare PINJ03915MA
Medicare UPINA57131
Medicaid6182968MA
Medicaid110064976AMA

Accepted 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

Paul J. Hesketh 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 ID8426004177
PECOS Enrollment IDI20050324001066
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 4

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.
227 services66 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.
201 services37 patients
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.
44 services25 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.
21 services21 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

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

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
$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
$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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.90 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
2 suppliers22 claims22 services$65.22 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.

Nurse Practitioner
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Nurse Practitioner
LAHEY CLINIC, 41 MALL RD.
BURLINGTON, MA 01805
Internal Medicine (Hematology & Oncology)
LAHEY CLINIC, 41 MALL RD
BURLINGTON, MA 01805
Obstetrics & Gynecology
LAHEY CLINIC, 41 MALL RD.
BURLINGTON, MA 01805
Internal Medicine (Pulmonary Disease)
LAHEY CLINIC, 41 MALL RD.
BURLINGTON, MA 01805
Anesthesiology
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Physician Assistant
LAHEY CLINIC, 41 MALL RD
BURLINGTON, MA 01805
Anesthesiology
LAHEY CLINIC, 41 MALL RD.
BURLINGTON, MA 01805

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 Paul Hesketh's NPI number?

The NPI number for Paul Hesketh is 1265427181. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Paul Hesketh located?

Paul Hesketh practices at Lahey Clinic 41 Mall Rd., Burlington, MA 01805. The listed phone number is (781) 744-8400.

What is Paul Hesketh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Paul Hesketh enrolled in Medicare?

Yes. Paul Hesketh 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 Paul Hesketh accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Paul Hesketh 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 Paul Hesketh affiliated with any hospitals?

According to CMS data, Paul Hesketh is affiliated with Northeast Hospital Corporation, Beth Israel Deaconess Medical Center and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Paul Hesketh was last updated on November 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.