SYLWIA KARPINSKI M.D.
NPI 1265622302
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Burlington, MA

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805(781) 744-8570(781) 744-5641 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2025, Mar 31, 2025, Jan 6, 2025 and 3 more (6 updates tracked since 2016).

About Sylwia Karpinski M.d. NPPES

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

SYLWIA KARPINSKI M.D. (NPI 1265622302) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Burlington, Massachusetts, licensed in Massachusetts (231523) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Portsmouth Regional Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265622302
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameSYLWIA KARPINSKICredential: M.D.
Location AddressLAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROADBurlington, MA 01805-0001
Mailing AddressLahey Hospital And Medical Center, 41 Mall RoadBurlington, MA 01805-0001 · (781) 744-8570 · Fax (781) 744-5641
Fax(781) 744-5641
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 25, 2007
Last NPPES UpdateSeptember 2, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
NPI 1265622302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in MA · 231523 Licensed in MI · 4301095573 Licensed in TX · N4508 Licensed in NH · 33597
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X · License 231523 (MA)
LAHEY HOSPITAL AND MEDICAL CENTER, Burlington, MA 01805

Secondary Practice Locations 3

Location 11002 Texas Blvd, Suite 322Texarkana, TX 75501-5107 · Phone (903) 791-1878 · Fax (903) 791-1882
Location 2732 Harrison Avenue, 3rd Floor West, Preston Bldg.Boston, MA 02118-2309 · Phone (617) 414-5405
Location 3246 Pleasant St Bldg WestConcord, NH 03301-2548 · Phone (603) 224-1725 · Fax (603) 227-7557

Other Identifiers 2

Medicaid110152704AMA
Medicaid3117290NH

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

Sylwia Karpinski 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 ID4981745924
PECOS Enrollment IDI20250321001433
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 6

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.

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.
57 services57 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.
48 services48 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
13 services13 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
12 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

Catholic Medical Center

Acute Care Hospitals · Manchester, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300034
Location100 Mcgregor StreetManchester, NH 03102 · Hillsborough County
Emergency services Birthing friendly

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
$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.

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

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.

Pain Medicine (Pain Medicine)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Internal Medicine (Gastroenterology)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Pharmacist (Oncology)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 BURLINGTON MALL RD
BURLINGTON, MA 01805
Obstetrics & Gynecology (Gynecology)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Nurse Practitioner (Family)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Colon & Rectal Surgery
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Emergency Medicine
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Nurse Practitioner (Family)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
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 Sylwia Karpinski's NPI number?

The NPI number for Sylwia Karpinski is 1265622302. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Sylwia Karpinski located?

Sylwia Karpinski practices at Lahey Hospital And Medical Center 41 Mall Road, Burlington, MA 01805. The listed phone number is (781) 744-8570.

What is Sylwia Karpinski's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Sylwia Karpinski enrolled in Medicare?

Yes. Sylwia Karpinski 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 Sylwia Karpinski accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Sylwia Karpinski 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 Sylwia Karpinski affiliated with any hospitals?

According to CMS data, Sylwia Karpinski is affiliated with Portsmouth Regional Hospital and Catholic Medical Center.

When was this NPI record last updated?

The NPPES record for Sylwia Karpinski was last updated on September 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.