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DR. DOUGLAS ADAM RUBINSON M.D., PH.D.
NPI 1457559585
Internal Medicine in Boston, MA

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment
86.28/100
CMS Quality Rating
450 BROOKLINE AVE, DANA 1220, BOSTON, MA 02215(617) 632-4405(617) 632-5370 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas Adam Rubinson M.d., Ph.d. NPPES

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

DR. DOUGLAS ADAM RUBINSON M.D., PH.D. (NPI 1457559585) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (241786) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Medical Center, and is a graduate of Harvard Medical School (2007).

NPPES Registry Identity

NPI1457559585
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DOUGLAS ADAM RUBINSONCredential: M.D., PH.D.
Location Address450 BROOKLINE AVE, DANA 1220Boston, MA 02215-5418
Mailing Address450 Brookline Ave, Dana 1220kBoston, MA 02215-5418 · (617) 632-4405 · Fax (617) 632-5370
Phone(617) 632-4405
Fax(617) 632-5370
Sole ProprietorYes
Medical School CMSHarvard Medical SchoolGraduated 2007
Enumeration DateJuly 10, 2007
Last NPPES UpdateFebruary 28, 2017
✔ NPI 1457559585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 241786
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.
450 BROOKLINE AVE, Boston, MA 02215
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Douglas Adam Rubinson M.d., Ph.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 ID4385824176
PECOS Enrollment IDI20110210001184
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 8

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.
156 services66 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.
147 services68 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.
64 services42 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.
57 services33 patients
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.
51 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
33 services33 patients

Hospital Affiliations CMS Care Compare 3

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

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · 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

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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.

86.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.36
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers19 claims1,862 services$0.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PRABHSIMRANJOT SINGH MD
Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 582-7956
SHAWN MAGUIRE PA-C
Physician Assistant
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 582-8487
KARINA FRANCA
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (857) 215-2285
DR. SUZANNE JAQUETH FORREST M.D.
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 632-3270
LAUREN KIRITSY MSW, LCSW
Counselor (Mental Health)
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (857) 215-3448
OFIR WOLAJ MD
Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE, DANA 2058
BOSTON, MA 02215
Suffolk County (617) 632-6139
JASON BATALHA AGPCNP-BC
Nurse Practitioner
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 632-6140
FATIMA EMRAN AMIR MS, LGC
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 632-3729

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 Douglas Rubinson's NPI number?

The NPI number for Douglas Rubinson is 1457559585. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Douglas Rubinson located?

Douglas Rubinson practices at 450 Brookline Ave Dana 1220, Boston, MA 02215. The listed phone number is (617) 632-4405.

What is Douglas Rubinson's specialty?

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

Is Douglas Rubinson enrolled in Medicare?

Yes. Douglas Rubinson 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 Douglas Rubinson accept?

Health plans from Anthem Blue Cross and Blue Shield list Douglas Rubinson 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 Douglas Rubinson affiliated with any hospitals?

According to CMS data, Douglas Rubinson is affiliated with Beth Israel Deaconess Medical Center, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Douglas Rubinson was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.