DR. EDWARD C DOW MD
NPI 1437131000
Internal Medicine - Hematology & Oncology in Burlington, MA
Quality Rating: 84.74 out of 100 score
NPI Status: Active since November 18, 2005
Contact Information
LAHEY CLINIC
41 MALL RD
BURLINGTON, MA
ZIP 01805
Phone: (781) 744-8400
- Individual
- Male
- Internal Medicine
- Hematology & Oncology
- Accepts Insurance
- PECOS Enrolled
About EDWARD DOW
This page provides the complete NPI Profile along with additional information for Edward Dow, an internist established in Burlington, Massachusetts with a medical specialization in Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1437131000 assigned on November 2005. The practitioner's primary taxonomy code is 207RH0003X with license number 59945 (MA). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1437131000
- Provider Name
- DR. EDWARD C DOW MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- LAHEY CLINIC 41 MALL RD BURLINGTON, MA 01805
- Location Phone
- (781) 744-8400
- Mailing Address
- LAHEY CLINIC 41 MALL RD BURLINGTON, MA 01805
- Mailing Phone
- (781) 744-8400
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-18-2005
- Last Update Date
- 10-29-2010
- Code Navigator
An internist like Edward Dow 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 Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 59945
- License State
- MA
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 4500/20%/7250 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110053213A | MEDICAID (05) | MA | |
| J13994 | MEDICARE PIN (08) | MA |
Medicare Participation & PECOS Enrollment Status
Edward Dow 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
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.
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
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.
This service was performed 136 times for 61 patientsThis 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.
This service was performed 27 times for 18 patientsPhysician Visit Costs
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 01805 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $189.86
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $47.46
- 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.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 84.74, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 84.74 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 68.31
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Reviews for DR. EDWARD C DOW MD
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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. | |||||||||
| 1 | 4 | 3 | 7 | 1 | 3 | 1 | 0 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 2 | 3 | 2 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 2 + 3 + 2 + 0 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1437131000 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
JULIE L JONES NP
Nurse Practitioner
LAHEY CLINIC
41 MALL ROAD
BURLINGTON, MA
ZIP 01805
PAUL J. HESKETH MD
Internal Medicine
(Hematology & Oncology)
LAHEY CLINIC
41 MALL RD.
BURLINGTON, MA
ZIP 01805
MARCIA GUERRA CHWALEK NP
Nurse Practitioner
LAHEY CLINIC
41 MALL RD.
BURLINGTON, MA
ZIP 01805
MOHAMED ADEL HAMID M.D.
Obstetrics & Gynecology
LAHEY CLINIC
41 MALL RD.
BURLINGTON, MA
ZIP 01805
DR. JEFFREY T KLENZ M.D.
Internal Medicine
(Pulmonary Disease)
LAHEY CLINIC
41 MALL RD.
BURLINGTON, MA
ZIP 01805
DR. LAWRENCE M FRANOWICZ M.D.
Anesthesiology
LAHEY CLINIC
41 MALL ROAD
BURLINGTON, MA
ZIP 01805
ERIC W HORTON PA
Physician Assistant
LAHEY CLINIC
41 MALL RD
BURLINGTON, MA
ZIP 01805
MARTEN H WOLCKENHAAR M.D.
Anesthesiology
LAHEY CLINIC
41 MALL RD.
BURLINGTON, MA
ZIP 01805
JAHNAVI P PASTORE M.D.
Radiology
(Diagnostic Radiology)
LAHEY CLINIC
41 MALL ROAD
BURLINGTON, MA
ZIP 01805
DR. BERNARD M BETTENCOURT JR. D.O.
Emergency Medicine
LAHEY CLINIC
41 MALL RD.
BURLINGTON, MA
ZIP 01805
DR. VINCENT AGNELLO M.D.
Specialist
LAHEY CLINIC
41 MALL RD
BURLINGTON, MA
ZIP 01805
DR. JONATHAN S. SILVER M.D.
Internal Medicine
(Clinical Cardiac Electrophysiology)
LAHEY CLINIC
41 MALL ROAD
BURLINGTON, MA
ZIP 01805
MS. PATRICIA A STUDENT CNS
Nurse Practitioner
(Psychiatric/Mental Health)
LAHEY CLINIC
41 MALL ROAD
BURLINGTON, MA
ZIP 01805
DR. EVA PIESSENS MD
Internal Medicine
(Infectious Disease)
LAHEY CLINIC
41 MALL ROAD
BURLINGTON, MA
ZIP 01805
ELAYNE LEPES LICSW
Social Worker
(Clinical)
LAHEY CLINIC
41 MALL ROAD
BURLINGTON, MA
ZIP 01805
SHEILA LEVENSELER CNS
Nurse Practitioner
(Psychiatric/Mental Health)
LAHEY CLINIC
41 MALL ROAD
BURLINGTON, MA
ZIP 01805
DR. DONALD CRAVEN MD
Internal Medicine
(Infectious Disease)
LAHEY CLINIC
41 MALL ROAD
BURLINGTON, MA
ZIP 01805
DR. LOREN DRIBINSKY MD
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
LAHEY CLINIC
41 MALL ROAD
BURLINGTON, MA
ZIP 01805
DR. STACEY LYNN SLAVKIN PHD
Psychologist
(Clinical)
LAHEY CLINIC
41 MALL ROAD
BURLINGTON, MA
ZIP 01805
DR. MARTHA KOUTSOS MD
Psychiatry & Neurology
(Psychiatry)
LAHEY CLINIC
41 MALL ROAD
BURLINGTON, MA
ZIP 01805
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437131000, enumerated as an "individual" on November 18, 2005.
The provider is located at LAHEY CLINIC 41 MALL RD BURLINGTON, MA 01805 and the phone number is (781) 744-8400.
Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.
