DR. ARTUR ZEMBOWICZ MD, PH D NPI 1285610014
Pathology - Dermatopathology in Burlington, MA
About DR. ARTUR ZEMBOWICZ MD, PH D
Artur Zembowicz is a provider established in Burlington, Massachusetts and his medical specialization is Pathology with a focus in dermatopathology with more than 35 years of experience. The NPI number of this provider is 1285610014 and was assigned on December 2005. The practitioner's primary taxonomy code is 207ZD0900X with license number 158848 (MA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
| NPI | 1285610014 |
| Provider Name | DR. ARTUR ZEMBOWICZ MD, PH D |
| Location Address | 41 MALL RD LAHEY CLINIC BURLINGTON, MA 01805 |
| Location Phone | (781) 744-3927 |
| Mailing Address | LAHEY CLINIC 41 MALL ROAD BURLINGTON, MA 01805 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1988 |
| Is Sole Proprietor? | No |
| Enumeration Date | 12-22-2005 |
| Last Update Date | 11-16-2011 |
Artur Zembowicz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Artur Zembowicz is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Mount Auburn Hospital, Northeast Hospital Corporation, Beth Israel Deaconess Medical Center, Winchester Hospital and Winchester Hospital.
The typical physician office visit costs for Medicare beneficiaries in this area are: $37.51 for a new patient copayment and $29.15 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207ZD0900X |
| Classification | Pathology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Dermatopathology |
| License No. | 158848 |
| License State | MA |
| Taxonomy Description | A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Blue Cross Blue Shield
- Medicaid
- Medicare
- Tufts Health Plan
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
41 MALL RD
LAHEY CLINIC
BURLINGTON, MA
ZIP 01805
Phone: (781) 744-3927
Fax: (781) 744-5215
Mailing Address
LAHEY CLINIC
41 MALL ROAD
BURLINGTON, MA
ZIP 01805
Phone: (781) 744-3927
Fax: (781) 744-5215
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 9931127883 |
| PECOS Enrollment ID | I20051109000346 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 01805 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $66.28 | $197.76 | $150.04 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $16.57 | $49.44 | $37.51 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $21.28 | $162.14 | $116.6 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $5.32 | $40.53 | $29.15 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 2928Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- 168Special stained specimen slides to examine tissue (HCPCS:88341)
- 132Antibody evaluation (HCPCS:88350)
- 122Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
- 63Tissue or cell analysis by immunologic technique (HCPCS:88342)
- 35Antibody evaluation (HCPCS:88346)
- 21Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Artur Zembowicz is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| MOUNT AUBURN HOSPITAL | 330 MOUNT AUBURN STREET CAMBRIDGE, MA 2138 | (617) 492-3500 | Acute Care Hospitals | 220002 | |
| NORTHEAST HOSPITAL CORPORATION | 85 HERRICK STREET BEVERLY, MA 1915 | (978) 922-3000 | Acute Care Hospitals | 220033 | |
| BETH ISRAEL DEACONESS MEDICAL CENTER | 330 BROOKLINE AVENUE BOSTON, MA 2215 | (617) 667-7000 | Acute Care Hospitals | 220086 | |
| WINCHESTER HOSPITAL | 41 HIGHLAND AVENUE WINCHESTER, MA 1890 | (781) 729-9000 | Acute Care Hospitals | 220105 | |
| WINCHESTER HOSPITAL | 41 & 45 MALL ROAD BURLINGTON, MA 1803 | (781) 744-5100 | Acute Care Hospitals | 220171 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207ZP0101X | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology | 158848 | MA | No |
Taxonomy Description: a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| J22415 | OTHER (01) | MA | BCBS MA |
| 0102903 | MEDICAID (05) | MA | |
| A32628 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | |
| H42132 | MEDICARE UPIN (02) | ||
| 158848 | OTHER (01) | MA | TUFTS HEALTH PLAN |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 1 | 0 | 0 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 1 | 0 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 1 + 0 + 0 + 2 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1285610014 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1578562674 | KAREN ORINO CRNA Individual | Nurse Anesthetist, Certified Registered | 41 MALL RD BURLINGTON, MA 01805 (781) 744-5100 |
| 1205836582 | MANUEL J MERINO MD Individual | Urology | 41 MALL RD LAHEY CLINIC BURLINGTON, MA 01805 (781) 744-7284 |
| 1598759961 | DR. BENJAMIN ARI TILLINGER MD Individual | Internal Medicine (Cardiovascular Disease) | 41 MALL RD CARDIOVASCULAR MEDICINE BURLINGTON, MA 01805 (781) 744-8000 |
| 1891785150 | DR. MICHAEL DAVID KAUFMAN MD Individual | Anesthesiology (Critical Care Medicine) | 41 MALL RD LAHEY CLINIC BURLINGTON, MA 01805 (781) 744-8132 |
| 1710977228 | ANTHONY P WEINER MD Individual | Psychiatry & Neurology (Psychiatry) | 41 MALL RD BURLINGTON, MA 01805 (781) 744-8610 |
| 1447240858 | DR. LATA CHANDI THATAI MD Individual | Internal Medicine (Hematology & Oncology) | 41 MALL RD LAHEY CLINIC BURLINGTON, MA 01805 (781) 744-8400 |
| 1780675074 | DR. LESLIE PAULETTE SHAFF MD Individual | Anesthesiology | 41 MALL RD BURLINGTON, MA 01805 (781) 744-7299 |
| 1881676096 | DR. DILIP NATARAJ MD Individual | Internal Medicine (Pulmonary Disease) | 41 MALL RD LAHEY CLINIC, INC. BURLINGTON, MA 01805 (781) 744-8480 |
| 1629050315 | HEATHER L TORRE PA-C Individual | Physician Assistant | 41 MALL RD BURLINGTON, MA 01805 (781) 372-7000 |
| 1649254715 | TIMOTHY F. KAISER MD Individual | Family Medicine (Geriatric Medicine) | 41 MALL RD LAHEY CLINIC, DEPARTMENT OF GERIATRICS BURLINGTON, MA 01805 (781) 744-2086 |
| 1023088697 | BRAD P MANUEL PAC Individual | Physician Assistant (Medical) | 41 MALL RD BURLINGTON, MA 01805 (781) 744-2273 |
| 1407821358 | MS. JEAN E FISCHER PA-C Individual | Physician Assistant | 41 MALL RD LAHEY CLLINIC MEDICAL CENTER-CARDIOTHORACIC SURGERY BURLINGTON, MA 01805 (781) 744-8570 |
| 1114993516 | DR. KURT A DIEBOLD MD Individual | Hospitalist | 41 MALL RD BURLINGTON, MA 01805 (781) 744-5100 |
| 1073581898 | GREGORY G SMAROFF MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 41 MALL RD BURLINGTON, MA 01805 (781) 744-8570 |
| 1134188659 | DR. ADAM JAMES VERNADAKIS M.D. Individual | Plastic Surgery | 41 MALL RD LAHEY CLINIC, INC. - PLASTIC SURGERY BURLINGTON, MA 01805 (781) 744-8582 |
| 1689634800 | SUSAN M HURLEY NP Individual | Nurse Practitioner | 41 MALL RD BURLINGTON, MA 01805 (781) 744-5100 |
| 1487616660 | THOMAS D. WOLD DO Individual | Internal Medicine (Pulmonary Disease) | 41 MALL RD BURLINGTON, MA 01805 (781) 744-8480 |
| 1134184815 | JASON R GEE MD Individual | Urology | 41 MALL RD BURLINGTON, MA 01805 (781) 744-5100 |
| 1649238577 | ARTHUR P MOURTZINOS M.D. Individual | Urology | 41 MALL RD BURLINGTON, MA 01805 (781) 744-5481 |
| 1386602944 | THOMAS MCLAUGHLIN PA Individual | Physician Assistant | 41 MALL RD LAHEY CLINIC, INC. BURLINGTON, MA 01805 (781) 744-2500 |
Frequently Asked Questions
What is Dr. Artur Zembowicz MD, PH D NPI number?
The NPI number assigned to this healthcare provider is 1285610014, registered as an "individual" on December 22, 2005
Where is Dr. Artur Zembowicz MD, PH D located?
The provider is located at 41 Mall Rd Lahey Clinic Burlington, Ma 01805 and the phone number is (781) 744-3927
Which is Dr. Artur Zembowicz MD, PH D specialty?
The provider's speciality is Pathology with a focus in Dermatopathology
How many years of experience does Dr. Artur Zembowicz MD, PH D have?
The provider has more than 35 years of experience.
What insurance does Dr. Artur Zembowicz MD, PH D accept?
The provider might be accepting Blue Cross Blue Shield, Medicaid, Medicare and Tufts Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Artur Zembowicz MD, PH D registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Artur Zembowicz MD, PH D?
Medicare beneficiaries should expect a typical cost of $150.04 with an average copayment of $37.51 for new patient appointments. Established patients should expect a typical charge of $116.6 and an average copayment of 29.15. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Artur Zembowicz MD, PH D?
The most common procedures or services performed by this practitioner are: Pathology examination of tissue using a microscope, intermediate complexity, Special stained specimen slides to examine tissue, Antibody evaluation, Pathology examination of tissue using a microscope, moderately low complexity, Tissue or cell analysis by immunologic technique, Antibody evaluation and Special stained specimen slides to examine tissue including interpretation and report.
Is Dr. Artur Zembowicz MD, PH D affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: MOUNT AUBURN HOSPITAL, NORTHEAST HOSPITAL CORPORATION, BETH ISRAEL DEACONESS MEDICAL CENTER, WINCHESTER HOSPITAL and WINCHESTER HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Dr. Artur Zembowicz MD, PH D was last updated on December 22, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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