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MICHAEL O'DONNELL M.D.
NPI 1609223676
Internal Medicine - Gastroenterology in Newton, MA

Active since May 19, 2016PECOS EnrolledAccepts Medicare Assignment
2000 WASHINGTON ST, NEWTON, MA 02462(617) 969-1227 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2024, May 3, 2019, May 19, 2016 (3 updates tracked since 2016).

About Michael O'donnell M.d. NPPES

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

MICHAEL O'DONNELL M.D. (NPI 1609223676) is an individual gastroenterology provider in Newton, Massachusetts, licensed in Massachusetts (291965) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of New York University School Of Medicine (2016).

NPPES Registry Identity

NPI1609223676
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMICHAEL O'DONNELLCredential: M.D.
Location Address2000 WASHINGTON STNewton, MA 02462-1650
Mailing Address2000 Washington StNewton, MA 02462-1650 · (617) 969-1227
Phone(617) 969-1227
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2016
Enumeration DateMay 19, 2016
Last NPPES UpdateMarch 6, 20243 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1609223676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MA · 291965
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 297811 (NY)
2000 WASHINGTON ST, Newton, MA 02462
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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

Michael O'donnell 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 ID446544142
PECOS Enrollment IDI20221213000721
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 11

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
117 services117 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
99 services95 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.
91 services91 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
71 services71 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.
71 services59 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
64 services61 patients

Hospital Affiliations CMS Care Compare 3

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02462 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.

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.

BRUCE ALDEN THAYER M.D.
Surgery
2000 WASHINGTON ST, SUITE 665
NEWTON, MA 02462
Middlesex County (617) 243-3724
DR. MATTHIAS BERNARD DONELAN MD
Plastic Surgery
2000 WASHINGTON ST
NEWTON LOWER FALLS, MA 02462
Middlesex County (617) 244-0990
DR. BRINDA TRIVEDI GUPTA MD
Pediatrics
2000 WASHINGTON ST, SUITE 466
NEWTON, MA 02462
Middlesex County (617) 969-8989
NEW ENGLAND EAR NOSE AND THROAT LLC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2000 WASHINGTON ST, SUITE 544 WHITE BUILDING
NEWTON, MA 02462
Middlesex County (617) 910-0368
NICHOLAS MICHAEL MASCOLI III M.D.
Internal Medicine
2000 WASHINGTON ST, SUITE 546
NEWTON LOWER FALLS, MA 02462
Middlesex County (617) 964-5020
BRUCE M. LESLIE M.D.
Orthopaedic Surgery (Hand Surgery)
2000 WASHINGTON ST, SUITE 341
NEWTON, MA 02462
Middlesex County (617) 964-0024
TARA A GRABOWSKY M.D.
Internal Medicine
2000 WASHINGTON ST, SUITE 441
NEWTON, MA 02462
Middlesex County (617) 964-9070
ANN WANG-DOHLMAN, MD, PC
Allergy & Immunology (Allergy)
2000 WASHINGTON ST, SUITE 205
NEWTON, MA 02462
Middlesex County (617) 527-3440

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 Michael O'donnell's NPI number?

The NPI number for Michael O'donnell is 1609223676. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Where is Michael O'donnell located?

Michael O'donnell practices at 2000 Washington St, Newton, MA 02462. The listed phone number is (617) 969-1227.

What is Michael O'donnell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael O'donnell enrolled in Medicare?

Yes. Michael O'donnell 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 Michael O'donnell accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael O'donnell 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 Michael O'donnell affiliated with any hospitals?

According to CMS data, Michael O'donnell is affiliated with Massachusetts General Hospital, Newton-Wellesley Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Michael O'donnell was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.