GAIL C SPELLMAN NP
NPI 1386742138
Internal Medicine in Burlington, MA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
67 S BEDFORD ST STE 202E, BURLINGTON, MA 01803(781) 744-7000(781) 744-5215 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gail C Spellman Np NPPES

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

GAIL C SPELLMAN NP (NPI 1386742138) is an individual internal medicine provider in Burlington, Massachusetts, licensed in Massachusetts (123804) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Lahey Hospital & Medical Center, Burlington, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1386742138
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameGAIL C SPELLMANCredential: NP
Location Address67 S BEDFORD ST STE 202EBurlington, MA 01803-5141
Mailing Address41 Mall RdBurlington, MA 01805-0001 · (781) 744-7000 · Fax (781) 744-5215
Fax(781) 744-5215
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 14, 2021
NPPES CertifiedApril 14, 2021
NPI 1386742138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 123804
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
67 S BEDFORD ST STE 202E, Burlington, MA 01803

Other Identifiers 1

Medicaid110018235AMA

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

Gail C Spellman Np 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 ID7214951672
PECOS Enrollment IDI20060124000852
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 3

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 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.
358 services354 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.
38 services38 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
37 services32 patients

Hospital Affiliations CMS Care Compare

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

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 01803 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.

Internal Medicine
67 S BEDFORD ST STE 202E
BURLINGTON, MA 01803
Internal Medicine
67 S BEDFORD ST STE 202E
BURLINGTON, MA 01803
Internal Medicine
67 S BEDFORD ST STE 202E
BURLINGTON, MA 01803
Nurse Practitioner (Family)
67 S BEDFORD ST STE 202E
BURLINGTON, MA 01803
Internal Medicine
67 S BEDFORD ST STE 202E
BURLINGTON, MA 01803
Internal Medicine
67 S BEDFORD ST STE 202E
BURLINGTON, MA 01803
Internal Medicine
67 S BEDFORD ST STE 202E
BURLINGTON, MA 01803
Nurse Practitioner (Adult Health)
67 S BEDFORD ST STE 202E
BURLINGTON, MA 01803

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 Gail Spellman's NPI number?

The NPI number for Gail Spellman is 1386742138. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Gail Spellman located?

Gail Spellman practices at 67 S Bedford St Ste 202E, Burlington, MA 01803. The listed phone number is (781) 744-7000.

What is Gail Spellman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gail Spellman enrolled in Medicare?

Yes. Gail Spellman 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 Gail Spellman accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Gail Spellman 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 Gail Spellman affiliated with any hospitals?

According to CMS data, Gail Spellman is affiliated with Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Gail Spellman was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.