ELLY C TSAI M.D.
NPI 1346404563
Family Medicine in Dorchester, MA

Active since July 16, 2008PECOS EnrolledAccepts Medicare Assignment
398 NEPONSET AVE, DORCHESTER, MA 02122(617) 282-3200 Get Directions Write a Review

NPPES record last updated: January 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elly C Tsai M.d. NPPES

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

ELLY C TSAI M.D. (NPI 1346404563) is an individual family medicine provider in Dorchester, Massachusetts, licensed in Massachusetts (235755) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and is a graduate of Tufts University School Of Medicine (2005).

NPPES Registry Identity

NPI1346404563
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELLY C TSAICredential: M.D.
Location Address398 NEPONSET AVEDorchester, MA 02122-3134
Mailing Address398 Neponset AveDorchester, MA 02122-3134 · (617) 282-3200
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2005
Enumeration DateJuly 16, 2008
Last NPPES UpdateJanuary 9, 2012
NPI 1346404563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MA · 235755
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
398 NEPONSET AVE, Dorchester, MA 02122

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

Elly C Tsai 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 ID345309761
PECOS Enrollment IDI20081030000125
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 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.
228 services107 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.
98 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
50 services50 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
36 services30 patients
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.
35 services30 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
32 services32 patients

Hospital Affiliations CMS Care Compare 4

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

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex 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 02122 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
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.

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.

Registered Nurse (Ambulatory Care)
398 NEPONSET AVE
DORCHESTER, MA 02122
Registered Nurse
398 NEPONSET AVE
DORCHESTER, MA 02122
Pharmacist
398 NEPONSET AVE
DORCHESTER, MA 02122
Licensed Practical Nurse
398 NEPONSET AVE
DORCHESTER, MA 02122
Registered Nurse (Community Health)
398 NEPONSET AVE
DORCHESTER, MA 02122
Nurse Practitioner
398 NEPONSET AVE
DORCHESTER, MA 02122
Nurse Practitioner (Women's Health)
398 NEPONSET AVE
DORCHESTER, MA 02122
Specialist
398 NEPONSET AVE
DORCHESTER, MA 02122

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 Elly Tsai's NPI number?

The NPI number for Elly Tsai is 1346404563. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Where is Elly Tsai located?

Elly Tsai practices at 398 Neponset Ave, Dorchester, MA 02122. The listed phone number is (617) 282-3200.

What is Elly Tsai's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elly Tsai enrolled in Medicare?

Yes. Elly Tsai 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 Elly Tsai accept?

Health plans from Anthem Blue Cross and Blue Shield list Elly Tsai 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 Elly Tsai affiliated with any hospitals?

According to CMS data, Elly Tsai is affiliated with Mount Auburn Hospital, South Shore Hospital, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Elly Tsai was last updated on January 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.