VIKKI LOUISE NOONAN D.M.D., D.M.SC.
NPI 1619980745
Dentist - Oral and Maxillofacial Pathology in Boston, MA

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
133 BROOKLINE AVE, 6TH FLOOR;HARVARD VANGUARD MEDICAL ASSOC.;DEPT OF PATH., BOSTON, MA 02215(617) 421-2844(617) 421-2423 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vikki Louise Noonan D.m.d., D.m.sc. NPPES

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

VIKKI LOUISE NOONAN D.M.D., D.M.SC. (NPI 1619980745) is an individual oral and maxillofacial pathology provider in Boston, Massachusetts, licensed in Massachusetts (19519) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1619980745
Entity TypeIndividualFemale
Primary Taxonomy1223P0106X
Provider Legal NameVIKKI LOUISE NOONANCredential: D.M.D., D.M.SC.
Location Address133 BROOKLINE AVE, 6TH FLOOR;HARVARD VANGUARD MEDICAL ASSOC.;DEPT OF PATH.Boston, MA 02215-3904
Mailing Address133 Brookline Ave, 6th Floor;harvard Vanguard Medical Assoc.;dept Of Path.Boston, MA 02215-3904 · (617) 421-2844 · Fax (617) 421-2423
Fax(617) 421-2423
Sole ProprietorYes
Medical School CMSTufts University School Of Dental MedicineGraduated 1997
Enumeration DateAugust 13, 2006
Last NPPES UpdateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
NPI 1619980745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License Licensed in MA · 19519
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
133 BROOKLINE AVE, Boston, MA 02215

Other Names 1

Former Name (1)Vikki Louise Vaughn D.m.d., D.m.sc.

Secondary Practice Location 1

Location 11 Cranberry HlLexington, MA 02421-7394 · Phone (800) 325-7284 · Fax (205) 579-9387

Other Identifiers 3

Medicaid0203718MA
OtherAA27554Harvard Pilgrim
OtherX09107Blue Cross

Accepted 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

Vikki Louise Noonan D.m.d., D.m.sc. 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 ID2466419536
PECOS Enrollment IDI20041210000493
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 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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
602 services556 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
79 services15 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
68 services12 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
60 services33 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.
51 services41 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
45 services25 patients

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

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
$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.

Nurse Practitioner (Family)
133 BROOKLINE AVE
BOSTON, MA 02215
Nurse Practitioner (Adult Health)
133 BROOKLINE AVE
BOSTON, MA 02215
Psychiatry & Neurology (Psychiatry)
133 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
133 BROOKLINE AVE, INTERNAL MEDICINE
BOSTON, MA 02215
Social Worker
133 BROOKLINE AVE
BOSTON, MA 02215
Registered Nurse
133 BROOKLINE AVE
BOSTON, MA 02215
Genetic Counselor, MS
133 BROOKLINE AVE
BOSTON, MA 02215
Technician/Technologist (Optician)
133 BROOKLINE AVE
BOSTON, MA 02215

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 Vikki Noonan's NPI number?

The NPI number for Vikki Noonan is 1619980745. It was assigned to this individual provider in the NPPES registry on August 13, 2006. The provider is also known as Vikki Louise Vaughn D.M.D., D.M.Sc..

Where is Vikki Noonan located?

Vikki Noonan practices at 133 Brookline Ave 6th Floor;harvard Vanguard Medical Assoc.;dept Of Path., Boston, MA 02215. The listed phone number is (617) 421-2844.

What is Vikki Noonan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Vikki Noonan enrolled in Medicare?

Yes. Vikki Noonan 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 Vikki Noonan accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Vikki Noonan 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 Vikki Noonan affiliated with any hospitals?

According to CMS data, Vikki Noonan is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Vikki Noonan was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.