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DR. WAYNE J ALTMAN MD
NPI 1568463479
Family Medicine in Arlington, MA

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
11 WATER ST, STE 1A, ARLINGTON, MA 02476(781) 648-9700(781) 648-0234 Get Directions Write a Review

NPPES record last updated: August 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Wayne J Altman Md NPPES

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

DR. WAYNE J ALTMAN MD (NPI 1568463479) is an individual family medicine provider in Arlington, Massachusetts, licensed in Massachusetts (153014) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and is a graduate of University Of Massachusetts Medical School (1994).

NPPES Registry Identity

NPI1568463479
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WAYNE J ALTMANCredential: MD
Location Address11 WATER ST, STE 1AArlington, MA 02476-4812
Mailing Address11 Water St, Ste 1aArlington, MA 02476-4812 · (781) 648-9700 · Fax (781) 648-0234
Phone(781) 648-9700
Fax(781) 648-0234
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1994
Enumeration DateAugust 2, 2005
Last NPPES UpdateAugust 24, 2011
✔ NPI 1568463479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 153014
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11 WATER ST, Arlington, MA 02476
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Other Identifiers 3

Medicare ID-Type UnspecifiedA22701MA
Medicaid3168786MA
Medicare UPING49653

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. Wayne J Altman Md 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 ID5092787648
PECOS Enrollment IDI20040812000827
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 5

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.
236 services63 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 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 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.
27 services22 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02476 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
$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.

Other Providers at the Same Location NPPES 7

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

CASEY GAFFNEY PA-C
Physician Assistant
11 WATER ST, SUITE 1A
ARLINGTON, MA 02476
Middlesex County (781) 648-9700
DR. EMILY FRELINGHUYSEN PLUHAR PH.D.
Psychologist (Clinical)
11 WATER ST, SUITE 1A
ARLINGTON, MA 02476
Middlesex County (781) 648-9700
LAURA B ZUCKER MD
Family Medicine
11 WATER ST, STE 1A
ARLINGTON, MA 02476
Middlesex County (781) 648-9700
BARI-SUE BRODSKY MD
Family Medicine
11 WATER ST, SUITE 1A
ARLINGTON, MA 02476
Middlesex County (781) 648-9700
MS. ELIZABETH MERRIAM SHOR PA-C
Physician Assistant
11 WATER ST, SUITE 1-A
ARLINGTON, MA 02476
Middlesex County (781) 648-9700
FAMILY PRACTICE GROUP PC
Family Medicine
11 WATER ST, SUITE 1A
ARLINGTON, MA 02476
Middlesex County (781) 648-9700
DR. STANLEY E. SAGOV MD
Family Medicine
11 WATER ST, SUITE 1A
ARLINGTON, MA 02476
Middlesex County (781) 648-9700

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 Wayne Altman's NPI number?

The NPI number for Wayne Altman is 1568463479. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Wayne Altman located?

Wayne Altman practices at 11 Water St Ste 1A, Arlington, MA 02476. The listed phone number is (781) 648-9700.

What is Wayne Altman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wayne Altman enrolled in Medicare?

Yes. Wayne Altman 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 Wayne Altman accept?

Health plans from Anthem Blue Cross and Blue Shield list Wayne Altman 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 Wayne Altman affiliated with any hospitals?

According to CMS data, Wayne Altman is affiliated with Mount Auburn Hospital and Beth Israel Deaconess Medical Center.

When was this NPI record last updated?

The NPPES record for Wayne Altman was last updated on August 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.