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KAI MITHOEFER M.D.
NPI 1275504219
Orthopaedic Surgery - Sports Medicine in Ded Ham, MA

Active since January 29, 2006PECOS EnrolledAccepts Medicare Assignment
40 ALLIED DRIVE, DED HAM, MA 02026(617) 264-1100(617) 264-1101 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2021, Jul 1, 2021 (2 updates tracked since 2021).

About Kai Mithoefer M.d. NPPES

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

KAI MITHOEFER M.D. (NPI 1275504219) is an individual sports medicine provider in Ded Ham, Massachusetts, licensed in Massachusetts (212397) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with New England Baptist Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1275504219
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameKAI MITHOEFERCredential: M.D.
Location Address40 ALLIED DRIVEDed Ham, MA 02026
Mailing Address40 Allied DriveDedham, MA 02026 · (617) 264-1100 · Fax (617) 264-1101
Phone(617) 264-1100
Fax(617) 264-1101
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 29, 2006
Last NPPES UpdateDecember 28, 20232 updates tracked since enumeration
NPPES CertifiedDecember 28, 2023
✔ NPI 1275504219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in MA · 212397
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 212397 (MA), 228933-1 (NY)
40 ALLIED DRIVE, Ded Ham, MA 02026
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Other Identifiers 1

Medicaid0198510MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.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

Kai Mithoefer 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 ID7810923182
PECOS Enrollment IDI20050711000051
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 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.
144 services87 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
64 services64 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
52 services41 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
32 services26 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.
28 services26 patients
Repair of knee joint with drilling and or scraping of joint using an endoscope 29879
This is a minimally invasive procedure where an endoscope, a small camera, is inserted into the knee joint. The surgeon then drills or scrapes the joint to remove any damaged tissue or bone. This can help improve mobility and reduce pain.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

New England Baptist Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220088
Location125 Parker Hill AvenueBoston, MA 02120 · Suffolk County

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.

Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips E0114
DME-Other DME · category DE000N
2 suppliers13 claims13 services$36.18 avg. paid by Medicare
Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1852
DME-Orthotic Devices · category DF011N
2 suppliers11 claims11 services$515.45 avg. paid by Medicare
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
2 suppliers13 claims13 services$95.63 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEEKS & ZILBERFARB ORTHOPEDICS
Specialist
40 ALLIED DRIVE
DEDHAM, MA 02026
Norfolk County (781) 326-1561

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 Kai Mithoefer's NPI number?

The NPI number for Kai Mithoefer is 1275504219. It was assigned to this individual provider in the NPPES registry on January 29, 2006.

Where is Kai Mithoefer located?

Kai Mithoefer practices at 40 Allied Drive, Ded Ham, MA 02026. The listed phone number is (617) 264-1100.

What is Kai Mithoefer's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Kai Mithoefer enrolled in Medicare?

Yes. Kai Mithoefer 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 Kai Mithoefer accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Kai Mithoefer 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 Kai Mithoefer affiliated with any hospitals?

According to CMS data, Kai Mithoefer is affiliated with New England Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Kai Mithoefer was last updated on December 28, 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.