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MICHAEL CONSTANTINE M.D.
NPI 1366468415
Internal Medicine - Hematology in Milford, MA

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
86.28/100
CMS Quality Rating
14 PROSPECT ST, HILL HEALTH BUILDING, MILFORD, MA 01757(508) 478-2061(508) 478-7768 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Constantine M.d. NPPES

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

MICHAEL CONSTANTINE M.D. (NPI 1366468415) is an individual hematology provider in Milford, Massachusetts, licensed in Massachusetts (75799) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Milford Regional Medical Center, and is a graduate of Tufts University School Of Medicine (1988).

NPPES Registry Identity

NPI1366468415
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameMICHAEL CONSTANTINECredential: M.D.
Location Address14 PROSPECT ST, HILL HEALTH BUILDINGMilford, MA 01757-3003
Mailing Address124 Grove St, Ste 305Franklin, MA 02038-3156 · (508) 528-5392 · Fax (508) 541-2420
Phone(508) 478-2061
Fax(508) 478-7768
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1988
Enumeration DateJuly 14, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1366468415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in MA · 75799
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 75799 (MA)
14 PROSPECT ST, Milford, MA 01757
Open in Google Maps ↗

Other Identifiers 1

Medicaid3138984MA

Accepted Insurance

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

Michael Constantine 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 ID3476561721
PECOS Enrollment IDI20060328000297
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 10

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.
1,335 services271 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.
644 services333 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
90 services44 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.
38 services31 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
32 services28 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
30 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01757 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

86.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.36
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.

DR. SETH WAKEFIELD MD
Internal Medicine
14 PROSPECT ST
MILFORD, MA 01757
Worcester County (508) 473-1190
SONIA MCCARTHY RD, LDN
Dietitian, Registered (Nutrition, Obesity and Weight Management)
14 PROSPECT ST
MILFORD, MA 01757
Worcester County (508) 473-1190
MONA S KADDIS M.D.
Internal Medicine (Hematology & Oncology)
14 PROSPECT ST, 2ND FLOOR
MILFORD, MA 01757
Worcester County (508) 478-2061
VERA HERNANDEZ-HOLMES PA-C, RD
Physician Assistant (Medical)
14 PROSPECT ST
MILFORD, MA 01757
Worcester County (508) 473-1190
MR. MONZOLESSO JOEL BAGAH-KOGNAGBA MD
Internal Medicine
14 PROSPECT ST
MILFORD, MA 01757
Worcester County (508) 473-1190
ADALIA JUN-O'CONNELL M.D.
Psychiatry & Neurology (Vascular Neurology)
14 PROSPECT ST
MILFORD, MA 01757
Worcester County (508) 381-5016
MAURA JEAN EATON PT, DPT
Physical Therapist
14 PROSPECT ST
MILFORD, MA 01757
Worcester County (508) 442-2552
MILFORD IMAGING, INC.
Specialist
14 PROSPECT ST, DEPARTMENT OF RADIOLOGY
MILFORD, MA 01757
Worcester County (508) 422-2922

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 Michael Constantine's NPI number?

The NPI number for Michael Constantine is 1366468415. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Michael Constantine located?

Michael Constantine practices at 14 Prospect St Hill Health Building, Milford, MA 01757. The listed phone number is (508) 478-2061.

What is Michael Constantine's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Michael Constantine enrolled in Medicare?

Yes. Michael Constantine 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 Michael Constantine accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Constantine 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 Michael Constantine affiliated with any hospitals?

According to CMS data, Michael Constantine is affiliated with Milford Regional Medical Center and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Michael Constantine was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.