NAYOMI K. EDIRISINGHE M.D.
NPI 1477590115
Surgery in Woburn, MA

Q: What is Nayomi Edirisinghe's NPI number?

The NPI number for Nayomi Edirisinghe is 1477590115. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Nayomi Edirisinghe's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment

91.41/100

CMS Quality Rating

7 ALFRED STREET, SUITE #306, WOBURN, MA 01801(781) 756-2308(781) 756-4798 Get Directions Write a Review

NPPES record last updated: April 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nayomi K. Edirisinghe M.d. NPPES

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

NAYOMI K. EDIRISINGHE M.D. (NPI 1477590115) is an individual surgery provider in Woburn, Massachusetts, licensed in Massachusetts (224882) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Tufts University School Of Medicine (2000).

NPPES Registry Identity

NPI1477590115

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameNAYOMI K. EDIRISINGHECredential: M.D.

Location Address7 ALFRED STREET, SUITE #306Woburn, MA 01801-1900

Mailing Address7 Alfred Street, Suite #306Woburn, MA 01801-1900 · (781) 756-2308 · Fax (781) 756-4798

Phone(781) 756-2308

Fax(781) 756-4798

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 2000

Enumeration DateJune 1, 2006

Last NPPES UpdateApril 5, 2010

✔ NPI 1477590115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MA · 224882

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

7 ALFRED STREET, Woburn, MA 01801

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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

Nayomi K. Edirisinghe 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 ID42232639

PECOS Enrollment IDI20051223000058

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 3

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

266 services248 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.

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.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220105

Location41 Highland AvenueWinchester, MA 01890 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01801 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JULIANA CLOUGH MARMON MD

Pediatrics

7 ALFRED STREET, BALDWIN PARK II
WOBURN, MA 01801

Middlesex County (781) 933-6236

ALEXANDRA S EPSTEIN M.D.

Pediatrics

7 ALFRED STREET, BALDWIN PARK II
WOBURN, MA 01801

Middlesex County (781) 933-6236

LAURA VITAGLIANO NP

Nurse Practitioner (Pediatrics)

7 ALFRED STREET, BALDWIN PARK II
WOBURN, MA 01801

Middlesex County (781) 933-6236

CHITRA YANG KING M.D.

Internal Medicine (Hematology & Oncology)

7 ALFRED STREET, BALDWIN PARK II, SUITE 230
WOBURN, MA 01801

Middlesex County (781) 756-2301

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 Nayomi Edirisinghe's NPI number?

The NPI number for Nayomi Edirisinghe is 1477590115. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Nayomi Edirisinghe located?

Nayomi Edirisinghe practices at 7 Alfred Street Suite #306, Woburn, MA 01801. The listed phone number is (781) 756-2308.

What is Nayomi Edirisinghe's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nayomi Edirisinghe enrolled in Medicare?

Yes. Nayomi Edirisinghe 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 Nayomi Edirisinghe accept?

Health plans from Anthem Blue Cross and Blue Shield list Nayomi Edirisinghe 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 Nayomi Edirisinghe affiliated with any hospitals?

According to CMS data, Nayomi Edirisinghe is affiliated with Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Nayomi Edirisinghe was last updated on April 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.