CYNTHIA CULLINANE M.D.
NPI 1386645679
Internal Medicine - Geriatric Medicine in Quincy, MA
NPI Status: Active since August 09, 2005
Contact Information
500 CONGRESS ST
3RD FLOOR
QUINCY, MA
ZIP 02169
Phone: (617) 471-0033
Fax: (617) 770-4354
- Individual
- Female
- Years of Experience 24
- Internal Medicine
- Geriatric Medicine
- PECOS Enrolled
- Accepts Medicare Approved Payment
About CYNTHIA CULLINANE
Cynthia Cullinane is an internist established in Quincy, Massachusetts and her medical specialization is Internal Medicine with a focus in geriatric medicine with more than 24 years of experience. She graduated from Boston University School Of Medicine in 2000. The healthcare provider is registered in the NPI registry with number 1386645679 assigned on August 2005. The practitioner's primary taxonomy code is 207RG0300X with license number 217019 (MA). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1386645679
- Provider Name
- CYNTHIA CULLINANE M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 500 CONGRESS ST 3RD FLOOR QUINCY, MA 02169
- Location Phone
- (617) 471-0033
- Location Fax
- (617) 770-4354
- Mailing Address
- 500 CONGRESS ST 3RD FLOOR QUINCY, MA 02169
- Mailing Phone
- (617) 471-0033
- Mailing Fax
- (617) 770-4354
- Medical School Name
- BOSTON UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2000
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-09-2005
- Last Update Date
- 05-10-2011
- Code Navigator
An internist like Cynthia Cullinane is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Cynthia Cullinane is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $49.44 for a new patient copayment and $29.15 for an established patient copayment.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Geriatric Medicine
- Taxonomy Code
- 207RG0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 217019
- License State
- MA
- Taxonomy Description
- An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Location Map
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 217019 (MA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Anthem Blue Cross and Blue Sheld
- Anthem Bronze Blue Connection EPO 7000/50%/8000 w/HSA - EPO
- Anthem Bronze Blue Connection EPO 8500/50%/9450 - EPO
- Anthem Gold Blue Connection EPO 1000/20%/7500 - EPO
- Anthem Gold Blue Connection EPO 2000/0%/6500 RxD - EPO
- Anthem Gold Blue Connection EPO 2000/10%/4725 w/HSA - EPO
- Anthem Gold Blue Connection EPO 2000/10%/8000 - EPO
- Anthem Gold Blue Connection EPO 2000/10%/8000 WH - EPO
- Anthem Gold Blue Connection EPO 2000/20%/4725 w/HSA - EPO
- Anthem Gold Blue Connection EPO 3000/0%/5500 RxD - EPO
- Anthem Gold Blue Connection EPO 500/25%/7500 - EPO
- Anthem Platinum Blue Connection EPO 250/10%/3000 - EPO
- Anthem Silver Blue Connection EPO 2000/30%/9450 Value - EPO
- Anthem Silver Blue Connection EPO 3000/20%/8500 - EPO
- Anthem Silver Blue Connection EPO 3000/30%/9000 Value - EPO
- Anthem Silver Blue Connection EPO 3200/20%/7250 w/HSA - EPO
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
I18057 | MEDICARE UPIN (02) | MA | |
2024501 | MEDICAID (05) | MA | |
A37725 | MEDICARE PIN (08) | MA |
PECOS Enrollment and Medicare Participation Status
Cynthia Cullinane 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1254391576
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20041012000870
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
Other DME (D1E)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
18 DME suppliers used 35 Medicare Claims 87 Services Paid
Other DME (D1E)
Lancets, per box of 100 (HCPCS:A4259)
10 DME suppliers used 15 Medicare Claims 19 Services Paid
Other DME (D1E)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
4 DME suppliers used 11 Medicare Claims 54 Services Paid
Oxygen and supplies (D1C)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
1 DME suppliers used 26 Medicare Claims 26 Services Paid
Oxygen and supplies (D1C)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
2 DME suppliers used 29 Medicare Claims 29 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02169 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $197.76
- Minimum New Patient Price $66.28
- Maximum New Patient Price $197.76
- Average New Patient Copayment $49.44
- Minimum New Patient Copayment $16.57
- Maximum New Patient Copayment $49.44
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $116.6
- Minimum Established Patient Price $21.28
- Maximum Established Patient Price $162.14
- Average Established Patient Copayment $29.15
- Minimum Established Patient Copayment $5.32
- Maximum Established Patient Copayment $40.53
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Services
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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 876
Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- 157
Hemoglobin a1c level (HCPCS:83036)
- 137
Blood test, comprehensive group of blood chemicals (HCPCS:80053)
- 97
Automated urinalysis test (HCPCS:81003)
- 95
Administration of influenza virus vaccine (HCPCS:G0008)
- 80
Vaccine for influenza for injection into muscle (HCPCS:90662)
- 53
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
- 37
Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
- 28
Administration of pneumococcal vaccine (HCPCS:G0009)
Hospital Affiliations
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Cynthia Cullinane is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
SOUTH SHORE HOSPITAL | 55 FOGG ROAD SOUTH WEYMOUTH, MA 2190 | (781) 340-8000 | Acute Care Hospitals | |
BETH ISRAEL DEACONESS HOSPITAL - MILTON | 199 REEDSDALE ROAD MILTON, MA 2186 | (617) 696-4600 | Acute Care Hospitals | |
BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS STREET BOSTON, MA 2115 | (617) 732-5500 | Acute Care Hospitals | |
FAULKNER HOSPITAL-BRIGHAM AND WOMEN'S | 1153 CENTRE STREET BOSTON, MA 2130 | (617) 983-7000 | Acute Care Hospitals |
Reviews for CYNTHIA CULLINANE M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 3 | 8 | 6 | 6 | 4 | 5 | 6 | 7 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 16 | 6 | 12 | 4 | 10 | 6 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 6 + 6 + 1 + 2 + 4 + 1 + 0 + 6 + 1 + 4 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1386645679 is valid because the calculated check digit 9 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 |
---|---|---|---|
1942200324 | JEANNE C BENOIT NURSE PRACTIONER Individual | Nurse Practitioner (Adult Health) | 500 CONGRESS ST QUINCY, MA 02169 (617) 471-0033 |
1891795811 | MARY B HOPWOOD NURSE PRACTIONER Individual | Nurse Practitioner (Adult Health) | 500 CONGRESS ST SUITE 3C QUINCY, MA 02169 (617) 471-0033 |
1720089683 | MARILYN B GREEN NURSE PRACTIONER Individual | Nurse Practitioner (Adult Health) | 500 CONGRESS ST QUINCY, MA 02169 (617) 471-0033 |
1407857378 | HELEN JENEST NURSE PRACTIONER Individual | Nurse Practitioner (Adult Health) | 500 CONGRESS ST QUINCY, MA 02169 (617) 417-0033 |
1568463248 | CATHERINE MILCH M.D. Individual | Internal Medicine (Cardiovascular Disease) | 500 CONGRESS ST QUINCY, MA 02169 (617) 471-0033 |
1326049065 | ROBERT M WEINBERG M.D. Individual | Internal Medicine | 500 CONGRESS ST SUITE 3C QUINCY, MA 02169 (617) 471-0033 |
1285635979 | NANCY DREW M.D. Individual | Internal Medicine | 500 CONGRESS ST 3RD FLOOR QUINCY, MA 02169 (617) 471-0033 |
1659372902 | GRANITE MEDICAL GROUP INC Organization | Family Medicine (Adult Medicine) | 500 CONGRESS ST QUINCY, MA 02169 (617) 471-0033 |
1972504298 | KENNETH EINSTEIN M.D. Individual | Internal Medicine (Pulmonary Disease) | 500 CONGRESS ST 3RD FLOOR QUINCY, MA 02169 (617) 471-0033 |
1538160684 | CECILIA MULLEN NURSE PRACTIONER Individual | Nurse Practitioner (Adult Health) | 500 CONGRESS ST QUINCY, MA 02169 (617) 471-0033 |
1659372787 | DENNIS GOLDIN M.D. Individual | Internal Medicine (Rheumatology) | 500 CONGRESS ST 3RD FLOOR QUINCY, MA 02169 (617) 471-0033 |
1942201066 | ROBERT H NOONAN M.D. Individual | Internal Medicine (Cardiovascular Disease) | 500 CONGRESS ST 3RD FLOOR QUINCY, MA 02169 (617) 471-0033 |
1821089921 | DR. JOHN B. LAZOR M.D. Individual | Otolaryngology | 500 CONGRESS ST SUITE 2B QUINCY, MA 02169 (617) 774-1717 |
1497746507 | DR. PETER N. FRIEDENSOHN M.D. Individual | Otolaryngology | 500 CONGRESS ST SUITE 2B QUINCY, MA 02169 (617) 774-1717 |
1588646061 | DAVID ROBERTSON DOBROSKI M.D. Individual | Internal Medicine (Cardiovascular Disease) | 500 CONGRESS ST SUITE 3A QUINCY, MA 02169 (617) 471-0033 |
1194790402 | ROBERT SIPZENER MD Individual | Internal Medicine (Gastroenterology) | 500 CONGRESS ST 3RD FLOOR QUINCY, MA 02169 (617) 471-0033 |
1104891134 | ROBERT SALZMAN M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 500 CONGRESS ST 3RD FLOOR QUINCY, MA 02169 (617) 471-0033 |
1467427484 | GEORGE DUCACH DPM Individual | Podiatrist | 500 CONGRESS ST QUINCY, MA 02169 (617) 471-0033 |
1548235583 | CHARLES SCHWARTZ MD Individual | Internal Medicine (Gastroenterology) | 500 CONGRESS ST 3RD FLOOR QUINCY, MA 02169 (617) 471-0033 |
1134196033 | DR. MARK IRA NANKIN D.D.S. Individual | Dentist (General Practice) | 500 CONGRESS ST SUITE 2D QUINCY, MA 02169 (617) 471-9444 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386645679, enumerated in the NPI registry as an "individual" on August 09, 2005
The provider is located at 500 Congress St 3rd Floor Quincy, Ma 02169 and the phone number is (617) 471-0033
The provider's speciality is Internal Medicine with taxonomy code 207RG0300X with a focus in Geriatric Medicine
The provider has more than 24 years of experience. She graduated from Boston University School Of Medicine in 2000.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 17, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.
Medicare beneficiaries should expect a typical cost of $197.76 with an average copayment of $49.44 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.
The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Hemoglobin a1c level, Blood test, comprehensive group of blood chemicals, Automated urinalysis test, Administration of influenza virus vaccine, Vaccine for influenza for injection into muscle, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention, Complete blood cell count (red cells, white blood cell, platelets), automated test and Administration of pneumococcal vaccine.
The practitioner is affiliated to the following hospital(s): SOUTH SHORE HOSPITAL, BETH ISRAEL DEACONESS HOSPITAL - MILTON, BRIGHAM AND WOMEN'S HOSPITAL and FAULKNER HOSPITAL-BRIGHAM AND WOMEN'S. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on August 09, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.