PATRICK S MCALPIN MD
NPI 1407485501
Radiology - Diagnostic Radiology in Boston, MA

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 29, 2026, Dec 30, 2025, Nov 24, 2025 and 2 more (5 updates tracked since 2020).

About Patrick S Mcalpin Md NPPES

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

PATRICK S MCALPIN MD (NPI 1407485501) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (1022497) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1407485501
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePATRICK S MCALPINCredential: MD
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address55 Fruit StBoston, MA 02114-2696 · (617) 726-2000
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2025
Enumeration DateApril 2, 2020
Last NPPES UpdateJanuary 29, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1407485501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MA · 1022497✔ Licensed in GA · 110506
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
55 FRUIT ST, Boston, MA 02114

Secondary Practice Locations 3

Location 1743 Spring St NEGainesville, GA 30501-3715 · Phone (770) 219-9000
Location 21600 SW Archer Rd Rm 4102Gainesville, FL 32610-3003 · Phone (352) 265-0239
Location 32300 Opitz BlvdWoodbridge, VA 22191-3311 · Phone (703) 523-0611

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patrick S Mcalpin Md 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 ID8820408818
PECOS Enrollment IDI20250613001221, I20260526001312, I20260608004143, I20260612002940
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.

Medicare Billing Reassignments

14

Medicare enrollment records show Patrick Mcalpin reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Massachusetts enrollment
Rural Health
2767 FRANKLIN TPKE
Danville, VA 24540
  • Reassigned Medicare billing, Virginia enrollment
  • 204 clinicians in this Medicare group
Rural Health
702 PINE ST
Hillsville, VA 24343
  • Reassigned Medicare billing, Virginia enrollment
  • 91 clinicians in this Medicare group
Family Medicine
3400 SALTERBECK ST STE 100A
Mt Pleasant, SC 29466
  • Reassigned Medicare billing, South Carolina enrollment
  • 158 clinicians in this Medicare group
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Florida and Georgia enrollments
  • 83 clinicians in this Medicare group
Gastroenterology
2300 MANCHESTER EXPY
Columbus, GA 31904
  • Reassigned Medicare billing, Massachusetts enrollment
Diagnostic Radiology
1673 MASON AVE, SUITE # 305
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 65 clinicians in this Medicare group
Diagnostic Radiology
1673 MASON AVE, SUITE 305
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 189 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Ngmc Barrow, LLC

Acute Care Hospitals · Winder, GA
OwnershipProprietary
CMS Certification Number110045
Location316 North Broad StreetWinder, GA 30680 · Barrow County
Emergency services

Northeast Georgia Medical Center Lumpkin

Acute Care Hospitals · Dahlonega, GA
OwnershipVoluntary non-profit - Other
CMS Certification Number110237
Location495 Highway 400 NorthDahlonega, GA 30533 · Lumpkin County
Emergency services

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490113
Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Patrick Mcalpin's NPI number?

The NPI number for Patrick Mcalpin is 1407485501. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Patrick Mcalpin located?

Patrick Mcalpin practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-2000.

What is Patrick Mcalpin's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Patrick Mcalpin enrolled in Medicare?

Yes. Patrick Mcalpin 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.

Which organizations bill Medicare for Patrick Mcalpin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Mcalpin reassigns Medicare benefits to 14 organizations: Massachusetts General Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA), Sentara Medical Group (Norfolk, VA), Danville Physician Practices LLC (Danville, VA), Dlp Twin County Physician Practices LLC (Hillsville, VA) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Mcalpin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick Mcalpin accept?

Health plans from Oscar Health and Taro Health list Patrick Mcalpin 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 Patrick Mcalpin affiliated with any hospitals?

According to CMS data, Patrick Mcalpin is affiliated with Northeast Georgia Medical Center, Inc, Northeast Georgia Medical Center Habersham, Ngmc Barrow, LLC, Northeast Georgia Medical Center Lumpkin and Sentara Northern Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Patrick Mcalpin was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.