DONALD F MORAN M.D.
NPI 1639116858
Internal Medicine in Somerville, MA

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
236 HIGHLAND AVE, SOMERVILLE HOSPITAL, SOMERVILLE, MA 02143(617) 591-4920 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Donald F Moran M.d. NPPES

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

DONALD F MORAN M.D. (NPI 1639116858) is an individual internal medicine provider in Somerville, Massachusetts, licensed in Massachusetts (155180) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Icahn School Of Medicine At Mount Sinai (1994).

NPPES Registry Identity

NPI1639116858
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDONALD F MORANCredential: M.D.
Location Address236 HIGHLAND AVE, SOMERVILLE HOSPITALSomerville, MA 02143-1495
Mailing Address236 Highland Ave, Somerville HospitalSomerville, MA 02143-1495 · (617) 591-4920
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1994
Enumeration DateMay 31, 2006
Last NPPES UpdateNovember 28, 2007
NPI 1639116858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 155180
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
236 HIGHLAND AVE, Somerville, MA 02143

Other Identifiers 2

Medicaid3175944MA
OtherJ18737MA · Bcbs Ma

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

Donald F Moran 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 ID6406888346
PECOS Enrollment IDI20050831000567
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.

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.
40 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services15 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services12 patients

Hospital Affiliations CMS Care Compare

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02143 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.

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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

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.

Registered Nurse
236 HIGHLAND AVE
SOMERVILLE, MA 02143
Nurse Practitioner (Family)
236 HIGHLAND AVE
SOMERVILLE, MA 02143
Internal Medicine
236 HIGHLAND AVE
SOMERVILLE, MA 02143
Pediatrics
236 HIGHLAND AVE
SOMERVILLE, MA 02143
Registered Nurse (Ambulatory Care)
236 HIGHLAND AVE
SOMERVILLE, MA 02143
Nurse Practitioner (Family)
236 HIGHLAND AVE
SOMERVILLE, MA 02143
Nurse Practitioner
236 HIGHLAND AVE
SOMERVILLE, MA 02143
Counselor (Mental Health)
236 HIGHLAND AVE
SOMERVILLE, MA 02143

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 Donald Moran's NPI number?

The NPI number for Donald Moran is 1639116858. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Donald Moran located?

Donald Moran practices at 236 Highland Ave Somerville Hospital, Somerville, MA 02143. The listed phone number is (617) 591-4920.

What is Donald Moran's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Donald Moran enrolled in Medicare?

Yes. Donald Moran 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.

Is Donald Moran affiliated with any hospitals?

According to CMS data, Donald Moran is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Donald Moran was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.