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MICHAEL PINCUS D.O.
NPI 1376741785
Internal Medicine - Rheumatology in Burlington, MA

Active since July 06, 2007PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805(781) 744-8000(781) 744-2599 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Pincus D.o. NPPES

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

MICHAEL PINCUS D.O. (NPI 1376741785) is an individual rheumatology provider in Burlington, Massachusetts, licensed in Massachusetts (243537) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of University Of New England, College Of Osteo Medicine (2007).

NPPES Registry Identity

NPI1376741785
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMICHAEL PINCUSCredential: D.O.
Location Address41 MALL RD, LAHEY CLINICBurlington, MA 01805-0001
Mailing Address41 Mall Rd, Lahey ClinicBurlington, MA 01805-0001 · (781) 744-8000 · Fax (781) 744-2599
Phone(781) 744-8000
Fax(781) 744-2599
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2007
Enumeration DateJuly 6, 2007
Last NPPES UpdateSeptember 5, 2013
✔ NPI 1376741785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in MA · 243537
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 243537 (MA)
41 MALL RD, Burlington, MA 01805
Open in Google Maps ↗

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 Pincus D.o. 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 ID6305962226
PECOS Enrollment IDI20101013000074
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 7

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.
414 services252 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.
186 services116 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.
83 services55 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
23 services19 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.
21 services15 patients

Hospital Affiliations CMS Care Compare 4

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

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

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk 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 01805 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
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.

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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
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.

SAHOOR KHAN
Internal Medicine (Interventional Cardiology)
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
FNU KALEEMULLAH MD
Hospitalist
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
ARLENE DEBORAH STOLLER ACNS
Registered Nurse
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (617) 460-2222
THAIS BITENCOURT ROBERTS AGNP
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
JULIE ALHADY
Pharmacist
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-7592
DR. MEHDI KHANI MD
Student in an Organized Health Care Education/Training Program
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-5100
FATIMA RODA
Physician Assistant
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-5100
RAISA CUCCIO NP
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000

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 Pincus's NPI number?

The NPI number for Michael Pincus is 1376741785. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Michael Pincus located?

Michael Pincus practices at 41 Mall Rd Lahey Clinic, Burlington, MA 01805. The listed phone number is (781) 744-8000.

What is Michael Pincus's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Michael Pincus enrolled in Medicare?

Yes. Michael Pincus 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.

Is Michael Pincus affiliated with any hospitals?

According to CMS data, Michael Pincus is affiliated with Northeast Hospital Corporation, Beth Israel Deaconess Medical Center, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Michael Pincus was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.