DR. BILL A. TSIKITAS M.D.
NPI 1407827033
Internal Medicine in South Weymouth, MA

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment
55 FOGG RD, HOSPITALIST PROGRAM, SOUTH WEYMOUTH, MA 02190(781) 340-8744(781) 682-5627 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Bill A. Tsikitas M.d. NPPES

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

DR. BILL A. TSIKITAS M.D. (NPI 1407827033) is an individual internal medicine provider in South Weymouth, Massachusetts, licensed in New York (158826) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Martha's Vineyard Hospital Inc, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1407827033
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BILL A. TSIKITASCredential: M.D.
Location Address55 FOGG RD, HOSPITALIST PROGRAMSouth Weymouth, MA 02190-2432
Mailing Address100 Marina Dr, Apt. 604Quincy, MA 02171-1531 · (617) 481-2005
Fax(781) 682-5627
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJanuary 31, 2006
Last NPPES UpdateApril 17, 2008
NPI 1407827033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 158826
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.

Also ListedHospitalistTaxonomy 208M00000X · License 158826 (NY)
55 FOGG RD, South Weymouth, MA 02190

Other Identifiers 3

Medicare UPINB88725NY
Medicaid00838486NY
Medicare ID-Type UnspecifiedRA9714NY

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

Dr. Bill A. Tsikitas 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 ID8820036882
PECOS Enrollment IDI20050420000592
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 6

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.
222 services98 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.
60 services41 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
14 services14 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.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Martha's Vineyard Hospital Inc

Critical Access Hospitals · Oak Bluffs, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221300
LocationOne Hospital Road, First Fl, Wing 5, PO Box 1477Oak Bluffs, MA 02557 · Dukes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02190 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.

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.

Surgery (Plastic and Reconstructive Surgery)
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Surgery (Plastic and Reconstructive Surgery)
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Psychiatry & Neurology (Neurology)
55 FOGG RD, DEPARTMENT OF NEUROLOGY
SOUTH WEYMOUTH, MA 02190
Anesthesiology
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Anesthesiology
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Internal Medicine (Cardiovascular Disease)
55 FOGG RD, CARDIOVASCULAR CENTER AT SOUTH SHORE HOSPITAL
S WEYMOUTH, MA 02190
Pediatrics (Neonatal-Perinatal Medicine)
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Nurse Practitioner (Adult Health)
55 FOGG RD
SOUTH WEYMOUTH, MA 02190

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 Bill Tsikitas's NPI number?

The NPI number for Bill Tsikitas is 1407827033. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Bill Tsikitas located?

Bill Tsikitas practices at 55 Fogg Rd Hospitalist Program, South Weymouth, MA 02190. The listed phone number is (781) 340-8744.

What is Bill Tsikitas's specialty?

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

Is Bill Tsikitas enrolled in Medicare?

Yes. Bill Tsikitas 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 Bill Tsikitas accept?

Health plans from Anthem Blue Cross and Blue Shield list Bill Tsikitas 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 Bill Tsikitas affiliated with any hospitals?

According to CMS data, Bill Tsikitas is affiliated with Martha's Vineyard Hospital Inc.

When was this NPI record last updated?

The NPPES record for Bill Tsikitas was last updated on April 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.