PHILIP CEFALO M.D.
NPI 1407888936
Internal Medicine in Boston, MA

NPI Status: Active since July 07, 2006

Contact Information

BOSTON MEDICAL CENTER
1 BOSTON MEDICAL CENTER PLACE
BOSTON, MA
ZIP 02118
Phone: (617) 638-8000

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  • Individual
  • Male
  • Years of Experience 24
  • Internal Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About PHILIP CEFALO

This page provides the complete NPI Profile along with additional information for Philip Cefalo, an internist established in Boston, Massachusetts with a medical specialization in Internal Medicine and more than 24 years of experience. He graduated from University Of Massachusetts Medical School in 2002. The healthcare provider is registered in the NPI registry with number 1407888936 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X with license number 226587 (MA). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1407888936
Provider Name
PHILIP CEFALO M.D.
Gender
Male
Entity Type
Individual
Location Address
BOSTON MEDICAL CENTER 1 BOSTON MEDICAL CENTER PLACE BOSTON, MA 02118
Location Phone
(617) 638-8000
Mailing Address
10 MANSFIELD DR WAKEFIELD, MA 01880
Mailing Phone
(617) 638-8000
Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
07-07-2006
Last Update Date
07-23-2008
Code Navigator

An internist like Philip Cefalo 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.

Location Map

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

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
226587
License State
MA
Taxonomy Description
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.

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)
1208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

226587 (MA)

Medicare Participation & PECOS Enrollment Status

Philip Cefalo 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.

Philip Cefalo 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: 9537166350

    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: I20061108000376

    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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 2,506 times for 286 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 309 times for 109 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 18 times for 16 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 261 times for 255 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $36.02 for a new patient copayment and $27.79 for an established patient copayment.

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 02118 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $144.11
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $36.02
  • Minimum New Patient Copayment $15.93
  • Maximum New Patient Copayment $47.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $111.18
  • Minimum Established Patient Price $21.07
  • Maximum Established Patient Price $155.29
  • Average Established Patient Copayment $27.79
  • Minimum Established Patient Copayment $5.26
  • Maximum Established Patient Copayment $38.82

* 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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

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. Philip Cefalo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MASSACHUSETTS GENERAL HOSPITAL55 FRUIT STREET
BOSTON, MA 02114
(617) 724-9725Acute Care Hospitals
BRIGHAM AND WOMEN'S HOSPITAL75 FRANCIS STREET
BOSTON, MA 02115
(617) 732-5500Acute Care Hospitals

Reviews for PHILIP CEFALO M.D.

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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.
1407888936
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24071681696
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 1 + 6 + 8 + 1 + 6 + 9 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1407888936 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

KALEV FREEMAN M.D.

Emergency Medicine

BOSTON MEDICAL CENTER
ONE BOSTON MEDICAL CENTER PLACE
BOSTON, MA
ZIP 02118

(617) 414-4075

NEEMA C KASEJE M.D.

Surgery

BOSTON MEDICAL CENTER
88 EAST NEWTON STREET, C515
BOSTON, MA
ZIP 02118

(617) 638-8442

ROGER K MORGAN M.D.

Internal Medicine

(Pulmonary Disease)

BOSTON MEDICAL CENTER
715 ALBANY STREET
BOSTON, MA
ZIP 02118

(617) 638-4860

WAEL I NASR M.D.

Surgery

BOSTON MEDICAL CENTER
ONE BOSTON MEDICAL CENTER PALCE
BOSTON, MA
ZIP 02118

(617) 638-8442

THOMAS L ROTHSTEIN M.D.

Internal Medicine

(Hematology & Oncology)

BOSTON MEDICAL CENTER
650 ALBANY ST-EBR C 437
ROXBURY, MA
ZIP 02118

(617) 638-7028

NEHA SHAH M.D.

Internal Medicine

BOSTON MEDICAL CENTER
715 ALBANY STREET
BOSTON, MA
ZIP 02118

(617) 638-6500

DR. SANDRA MATTAR PSYD

Psychologist

(Clinical)

BOSTON MEDICAL CENTER
1 BOSTON MEDICAL CENTER PLACE
BOSTON, MA
ZIP 02118

(617) 414-5245

SOKHIRA CHRISTINA YANG NP

Nurse Practitioner

(Psychiatric/Mental Health)

BOSTON MEDICAL CENTER
88 E NEWTON STREET
BOSTON, MA
ZIP 02118

(617) 414-5155

MARICOR CRISTINA CASTILLO JAVIER MD

Pediatrics

(Neonatal-Perinatal Medicine)

BOSTON MEDICAL CENTER
ONE BOSTON MEDICAL PLACE -DOWLING 3 SOUTH
BOSTON, MA
ZIP 02118

(617) 414-3697

CARLY ALEXANDRA CARLIN MD

Student in an Organized Health Care Education/Training Program

BOSTON MEDICAL CENTER
ONE MEDICAL CENTER PLACE
BOSTON, MA
ZIP 02118

(617) 638-8000

GREGORY BARRETT

Counselor

(Mental Health)

BOSTON MEDICAL CENTER
ONE BOSTON MEDICAL CENTER PL
BOSTON, MA
ZIP 02118

(917) 847-3181

FILIPE PIAZZI TAVARES M.D.

Student in an Organized Health Care Education/Training Program

BOSTON MEDICAL CENTER
ONE BOSTON MEDICAL CENTER PLACE
BOSTON, MA
ZIP 02118

(617) 638-8000

AARON KRUMHEUER MD

Emergency Medicine

BOSTON MEDICAL CENTER
ONE BOSTON MEDICAL CENTER PLACE, DOWLING ONE SOUTH
BOSTON, MA
ZIP 02118

(617) 414-5481

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407888936, enumerated as an "individual" on July 07, 2006.

The provider is located at BOSTON MEDICAL CENTER 1 BOSTON MEDICAL CENTER PLACE BOSTON, MA 02118 and the phone number is (617) 638-8000.

Internal Medicine with taxonomy code 207R00000X.

Philip Cefalo is affiliated with: MASSACHUSETTS GENERAL HOSPITAL and BRIGHAM AND WOMEN'S HOSPITAL.