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DR. JACK KRUSHELL M.D.
NPI 1558328609
Dermatology in Somerville, MA

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
40 HOLLAND ST, DERMATOLOGY DEPT., SOMERVILLE, MA 02144(617) 629-6250(617) 629-6108 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jack Krushell M.d. NPPES

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

DR. JACK KRUSHELL M.D. (NPI 1558328609) is an individual dermatology provider in Somerville, Massachusetts, licensed in Massachusetts (74445) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (1983).

NPPES Registry Identity

NPI1558328609
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. JACK KRUSHELLCredential: M.D.
Location Address40 HOLLAND ST, DERMATOLOGY DEPT.Somerville, MA 02144-2705
Mailing Address40 Holland St, Dermatology Dept.Somerville, MA 02144-2705 · (617) 629-6250 · Fax (617) 629-6108
Phone(617) 629-6250
Fax(617) 629-6108
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1983
Enumeration DateMay 1, 2006
Last NPPES UpdateJanuary 25, 2021
NPPES CertifiedJanuary 7, 2021
✔ NPI 1558328609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MA · 74445
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
40 HOLLAND ST, Somerville, MA 02144
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Other Identifiers 1

Medicaid3204545MA

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Krushell 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 ID42228116
PECOS Enrollment IDI20060331000057
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.

Medicare Billing Reassignment

Medicare enrollment records show Jack Krushell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atrius Health, Inc.
Same address
Internal Medicine
40 HOLLAND ST
Somerville, MA 02144
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,317 clinicians in this Medicare group
NPI 1154535813 (617) 629-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
319 services205 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
238 services69 patients
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.
177 services145 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
142 services114 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
124 services89 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
68 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02144 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.

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.

ELIZABETH AHLBORN NECHEV
Nurse Practitioner
40 HOLLAND ST
SOMERVILLE, MA 02144
Middlesex County (617) 657-6445
HENRY W STOLL PA
Physician Assistant (Medical)
40 HOLLAND ST
SOMERVILLE, MA 02144
Middlesex County (617) 629-6000
D. SCOTT GILBERT PA-C
Physician Assistant
40 HOLLAND ST
SOMERVILLE, MA 02144
Middlesex County (617) 654-7111
STEPHANIE E. NEALY RD, LDN
Dietitian, Registered
40 HOLLAND ST, NUTRITION
SOMERVILLE, MA 02144
Middlesex County (617) 629-6444
MARIA ELIZABETH HEDBERG FNP
Nurse Practitioner (Family)
40 HOLLAND ST
SOMERVILLE, MA 02144
Middlesex County (617) 629-6000
MRS. ANNETTE OHEARN 5532-DO-DO
Technician/Technologist (Optician)
40 HOLLAND ST
SOMERVILLE, MA 02144
Middlesex County (617) 629-6378
SHEENA ANN FREMAULT MACEDO FNP-C
Nurse Practitioner
40 HOLLAND ST
SOMERVILLE, MA 02144
Middlesex County (617) 629-6032
RICHARD MICHALOWSKI DMD
Dentist (General Practice)
40 HOLLAND ST
SOMERVILLE, MA 02144
Middlesex County (617) 629-6080

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 Jack Krushell's NPI number?

The NPI number for Jack Krushell is 1558328609. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Jack Krushell located?

Jack Krushell practices at 40 Holland St Dermatology Dept., Somerville, MA 02144. The listed phone number is (617) 629-6250.

What is Jack Krushell's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jack Krushell enrolled in Medicare?

Yes. Jack Krushell 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.

Which organization bills Medicare for Jack Krushell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Krushell reassigns Medicare benefits to Atrius Health, Inc. (Somerville, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Krushell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Krushell accept?

Health plans from Anthem Blue Cross and Blue Shield list Jack Krushell 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.

When was this NPI record last updated?

The NPPES record for Jack Krushell was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.