VERONICA N BAPTISTA M.D.
NPI 1407827538
Internal Medicine - Gastroenterology in Medford, MA

Q: What is Veronica Baptista's NPI number?

The NPI number for Veronica Baptista is 1407827538. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Q: What is Veronica Baptista's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Veronica Baptista was last updated on November 17, 2020. 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.

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment

91.41/100

CMS Quality Rating

26 CITY HALL MALL, MEDFORD, MA 02155(617) 421-1091(781) 306-5080 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Veronica N Baptista M.d. NPPES

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

VERONICA N BAPTISTA M.D. (NPI 1407827538) is an individual gastroenterology provider in Medford, Massachusetts, licensed in Massachusetts (221213) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Stanford University School Of Medicine (1995).

NPPES Registry Identity

NPI1407827538

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameVERONICA N BAPTISTACredential: M.D.

Location Address26 CITY HALL MALLMedford, MA 02155-4754

Mailing Address26 City Hall MallMedford, MA 02155-4754 · (617) 421-1091 · Fax (781) 306-5080

Phone(617) 421-1091

Fax(781) 306-5080

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 1995

Enumeration DateJanuary 27, 2006

Last NPPES UpdateNovember 17, 2020

NPPES CertifiedNovember 17, 2020

✔ NPI 1407827538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MA · 221213

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 221213 (MA)

26 CITY HALL MALL, Medford, MA 02155

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Other Identifiers 4

Medicaid2082021MA

OtherAA17099MA · Harvard Pilgrim

OtherJ27992MA · Blue Cross

Other469662MA · Tufts

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

Veronica N Baptista 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 ID5991764151

PECOS Enrollment IDI20041005000450

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

123 services122 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.

35 services26 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

28 services28 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

26 services26 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.

15 services15 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220035

Location81 Highland AvenueSalem, MA 01970 · Essex County

Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 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

Quality

76.87

Promoting Interoperability

100

Improvement Activities

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.

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