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AARON DAVID KUGELMASS M.D.
NPI 1457429904
Internal Medicine - Interventional Cardiology in Springfield, MA

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
95.3/100
CMS Quality Rating
3300 MAIN STREET, 2ND FL, SUITE A, SPRINGFIELD, MA 01107(413) 794-2273(413) 794-0198 Get Directions Write a Review

NPPES record last updated: December 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2017, May 19, 2016 (2 updates tracked since 2016).

About Aaron David Kugelmass M.d. NPPES

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

AARON DAVID KUGELMASS M.D. (NPI 1457429904) is an individual interventional cardiology provider in Springfield, Massachusetts, licensed in Massachusetts (72758) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Deborah Heart And Lung Center, and is a graduate of Harvard Medical School (1986).

NPPES Registry Identity

NPI1457429904
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameAARON DAVID KUGELMASSCredential: M.D.
Location Address3300 MAIN STREET, 2ND FL, SUITE ASpringfield, MA 01107-1112
Mailing Address280 Chestnut St, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700
Phone(413) 794-2273
Fax(413) 794-0198
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1986
Enumeration DateDecember 1, 2006
Last NPPES UpdateDecember 29, 20172 updates tracked since enumeration
✔ NPI 1457429904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in MA · 72758
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 72758 (MA)
3300 MAIN STREET, Springfield, MA 01107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Aaron David Kugelmass 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 ID4183640584
PECOS Enrollment IDI20230224002355
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
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.
56 services30 patients
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.
17 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
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.
14 services13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Deborah Heart And Lung Center

Acute Care Hospitals · Browns Mills, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310031
Location200 Trenton RoadBrowns Mills, NJ 08015 · Burlington County

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

95.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.47
Promoting Interoperability99
Improvement Activities40
Cost82.55

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.

CYNTHIA K SITES MD
Obstetrics & Gynecology (Reproductive Endocrinology)
3300 MAIN STREET, 4TH FLOOR
SPRINGFIELD, MA 01107
Hampden County (413) 794-7045
NEIL R KUDLER MD
Internal Medicine
3300 MAIN STREET, 3RD FLOOR, SUITE C&D
SPRINGFIELD, MA 01107
Hampden County (413) 794-7394
DR. TUYYAB A HASSAN MD
Internal Medicine (Gastroenterology)
3300 MAIN STREET
SPRINGFIELD, MA 01107
Hampden County (413) 794-7364
DR. JAMES S HOFFMAN MD
Obstetrics & Gynecology (Gynecologic Oncology)
3300 MAIN STREET
SPRINGFIELD, MA 01107
Hampden County (413) 794-9338
DR. JOANNE L DALPE M.D.
Obstetrics & Gynecology
3300 MAIN STREET
SPRINGFIELD, MA 01107
Hampden County (413) 794-7045
TINA M JOHNSON CNM
Advanced Practice Midwife
3300 MAIN STREET, SUITE 4D
SPRINGFIELD, MA 01107
Hampden County (413) 794-8336
PHILIP S HSU MD
Psychiatry & Neurology (Neurology)
3300 MAIN STREET, 3RD FLOOR SUITES C & D
SPRINGFIELD, MA 01107
Hampden County (413) 794-5600
LENG JIANG MD
Internal Medicine (Cardiovascular Disease)
3300 MAIN STREET, 2ND FLOOR SUITE A
SPRINGFIELD, MA 01107
Hampden County (413) 794-2273

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 Aaron Kugelmass's NPI number?

The NPI number for Aaron Kugelmass is 1457429904. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Aaron Kugelmass located?

Aaron Kugelmass practices at 3300 Main Street 2nd Fl, Suite A, Springfield, MA 01107. The listed phone number is (413) 794-2273.

What is Aaron Kugelmass's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Aaron Kugelmass enrolled in Medicare?

Yes. Aaron Kugelmass 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 Aaron Kugelmass accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Aaron Kugelmass 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 Aaron Kugelmass affiliated with any hospitals?

According to CMS data, Aaron Kugelmass is affiliated with Deborah Heart And Lung Center and Capital Health Medical Center - Hopewell.

When was this NPI record last updated?

The NPPES record for Aaron Kugelmass was last updated on December 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.