JOHN KARBASSI M.D.
NPI 1376740456
Orthopaedic Surgery in Peabody, MA

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
1 ORTHOPEDICS DR, PEABODY, MA 01960(978) 818-6350 Get Directions Write a Review

NPPES record last updated: November 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Karbassi M.d. NPPES

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

JOHN KARBASSI M.D. (NPI 1376740456) is an individual orthopaedic surgery provider in Peabody, Massachusetts, licensed in Massachusetts (257449) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and is a graduate of Eastern Virginia Medical School (2007).

NPPES Registry Identity

NPI1376740456
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN KARBASSICredential: M.D.
Location Address1 ORTHOPEDICS DRPeabody, MA 01960-1668
Mailing Address1 Orthopedics DrPeabody, MA 01960-1668 · (978) 818-6350
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2007
Enumeration DateJuly 2, 2007
Last NPPES UpdateNovember 5, 2014
NPI 1376740456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MA · 257449
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1 ORTHOPEDICS DR, Peabody, MA 01960

Other Identifiers 1

Medicare PINS400118594MA

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

John Karbassi 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 ID6305075680
PECOS Enrollment IDI20140207000942
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 13

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
556 services281 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.
516 services374 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.
416 services281 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
289 services134 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
174 services102 patients
Aspiration and/or injection of fluid from medium joint 20605
This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.
93 services56 patients

Hospital Affiliations CMS Care Compare 2

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

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01960 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

e-Prescribing
99%232 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
74%1,753 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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
1 supplier17 claims17 services$39.20 avg. paid by Medicare
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
2 suppliers54 claims54 services$67.96 avg. paid by Medicare
Afo, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, includes fitting and adjustment L1932
DME-Orthotic Devices · category DF003N
3 suppliers13 claims14 services$727.76 avg. paid by Medicare
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined L2275
DME-Orthotic Devices · category DF000N
3 suppliers14 claims15 services$102.86 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers44 claims44 services$277.76 avg. paid by Medicare
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf L4397
DME-Orthotic Devices · category DF000N
1 supplier16 claims16 services$130.66 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 20

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

Occupational Therapist
1 ORTHOPEDICS DR
PEABODY, MA 01960
Specialist
1 ORTHOPEDICS DR, 2ND FLOOR
PEABODY, MA 01960
Podiatrist (Foot & Ankle Surgery)
1 ORTHOPEDICS DR, 2ND FLOOR
PEABODY, MA 01960
Physical Therapy Assistant
1 ORTHOPEDICS DR
PEABODY, MA 01960
Physician Assistant
1 ORTHOPEDICS DR
PEABODY, MA 01960
Physical Therapist
1 ORTHOPEDICS DR
PEABODY, MA 01960
Physician Assistant (Surgical)
1 ORTHOPEDICS DR
PEABODY, MA 01960
Anesthesiology
1 ORTHOPEDICS DR, 2ND FLOOR
PEABODY, MA 01960

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 John Karbassi's NPI number?

The NPI number for John Karbassi is 1376740456. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is John Karbassi located?

John Karbassi practices at 1 Orthopedics Dr, Peabody, MA 01960. The listed phone number is (978) 818-6350.

What is John Karbassi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Karbassi enrolled in Medicare?

Yes. John Karbassi 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 John Karbassi accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list John Karbassi 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 John Karbassi affiliated with any hospitals?

According to CMS data, John Karbassi is affiliated with Anna Jaques Hospital and Northeast Hospital Corporation.

When was this NPI record last updated?

The NPPES record for John Karbassi was last updated on November 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.