DR. PAUL ANTHONY RIZZO III MD
NPI 1659992105
Family Medicine in Malden, MA

Active since May 06, 2020PECOS EnrolledAccepts Medicare Assignment
195 CANAL ST, MALDEN, MA 02148(781) 338-0500 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 6, 2024, May 6, 2020 (2 updates tracked since 2020).

About Dr. Paul Anthony Rizzo Iii Md NPPES

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

DR. PAUL ANTHONY RIZZO III MD (NPI 1659992105) is an individual family medicine provider in Malden, Massachusetts, licensed in Massachusetts (1014995) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and maintains a secondary practice location in Ipswich.

NPPES Registry Identity

NPI1659992105
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAUL ANTHONY RIZZO IIICredential: MD
Location Address195 CANAL STMalden, MA 02148-6701
Mailing Address195 Canal StMalden, MA 02148-6701 · (781) 338-0500
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2020
Enumeration DateMay 6, 2020
Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1659992105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 1014995
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.
195 CANAL ST, Malden, MA 02148

Secondary Practice Location 1

Location 136 Essex Rd Ste 1Ipswich, MA 01938-2609 · Phone (978) 356-5522

Accepted 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. Paul Anthony Rizzo Iii 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 ID840644639
PECOS Enrollment IDI20230927003318
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 Reassignments

3

Medicare enrollment records show Paul Rizzo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1493 CAMBRIDGE ST, PROVIDER ENROLLMENT
Cambridge, MA 02139
  • Reassigned Medicare billing, Massachusetts enrollment
  • 719 clinicians in this Medicare group
Urgent Care
1350 MARKET STREET, 2ND FLOOR, BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC.
Lynnfield, MA 01940
  • Reassigned Medicare billing, Massachusetts enrollment
  • 410 clinicians in this Medicare group
Internal Medicine
1 ESSEX CENTER DR
Peabody, MA 01960
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,841 clinicians in this Medicare group

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 4

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.
27 services25 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.
25 services16 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.
23 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
14 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex 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

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02148 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 20

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

Pharmacist
195 CANAL ST
MALDEN, MA 02148
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148
Family Medicine
195 CANAL ST
MALDEN, MA 02148
Registered Nurse
195 CANAL ST, SUITE 100
MALDEN, MA 02148
Health Educator
195 CANAL ST
MALDEN, MA 02148
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148
Student in an Organized Health Care Education/Training Program
195 CANAL ST
MALDEN, MA 02148

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 Paul Rizzo's NPI number?

The NPI number for Paul Rizzo is 1659992105. It was assigned to this individual provider in the NPPES registry on May 6, 2020.

Where is Paul Rizzo located?

Paul Rizzo practices at 195 Canal St, Malden, MA 02148. The listed phone number is (781) 338-0500.

What is Paul Rizzo's specialty?

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

Is Paul Rizzo enrolled in Medicare?

Yes. Paul Rizzo 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 organizations bill Medicare for Paul Rizzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Rizzo reassigns Medicare benefits to 3 organizations: Cambridge Public Health Commission (Cambridge, MA), Beth Israel Lahey Health Primary Care, Inc. (Lynnfield, MA) and Lahey Clinic, Inc (Peabody, MA). Each 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 Paul Rizzo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Rizzo accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Paul Rizzo 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 Paul Rizzo affiliated with any hospitals?

According to CMS data, Paul Rizzo is affiliated with Anna Jaques Hospital, Northeast Hospital Corporation, Beth Israel Deaconess Medical Center, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Paul Rizzo was last updated on November 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.