DR. ANDREW POPELKA JR. M.D.
NPI 1669403523
Hospitalist in Burlington, MA

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
41 MALL RD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805(781) 744-3839(781) 744-1597 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2026, Nov 21, 2016 (2 updates tracked since 2016).

About Dr. Andrew Popelka Jr. M.d. NPPES

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

DR. ANDREW POPELKA JR. M.D. (NPI 1669403523) is an individual hospitalist provider in Burlington, Massachusetts, licensed in Massachusetts (225345) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and maintains a secondary practice location in Newburyport.

NPPES Registry Identity

NPI1669403523
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. ANDREW POPELKA JR.Credential: M.D.
Location Address41 MALL RD, LAHEY HOSPITAL AND MEDICAL CENTERBurlington, MA 01805-0001
Mailing Address41 Mall Rd, Lahey Hospital And Medical CenterBurlington, MA 01805-0001 · (781) 744-3839 · Fax (781) 744-1597
Fax(781) 744-1597
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2003
Enumeration DateJuly 6, 2006
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1669403523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MA · 225345
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
41 MALL RD, Burlington, MA 01805

Secondary Practice Location 1

Location 125 Highland AveNewburyport, MA 01950-3867 · Phone (978) 463-1000

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. Andrew Popelka Jr. 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 ID2264445774
PECOS Enrollment IDI20060731000433
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

8

Medicare enrollment records show Andrew Popelka reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
41 MALL RD
Burlington, MA 01805
  • Reassigned Medicare billing, Massachusetts enrollment
  • 410 clinicians in this Medicare group
Same address
Internal Medicine
41 MALL RD, LAHEY CLINIC
Burlington, MA 01805
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1063447316 (Massachusetts)
  • 1,574 clinicians in this Medicare group
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
Nurse Practitioner
57 OLD ROAD TO 9 ACRE COR
Concord, MA 01742
  • Reassigned Medicare billing, Massachusetts enrollment
  • 8 clinicians in this Medicare group
Family Medicine
25 MARSTON ST STE 301
Lawrence, MA 01841
  • Reassigned Medicare billing, Massachusetts enrollment
  • 305 clinicians in this Medicare group
General Acute Care Hospital
1 GENERAL ST
Lawrence, MA 01841
  • Reassigned Medicare billing, Massachusetts enrollment
  • 258 clinicians in this Medicare group
Hospice Care, Community Based
352 BELMONT ST
Worcester, MA 01604
  • Reassigned Medicare billing, Massachusetts enrollment
  • 5 clinicians in this Medicare group
Critical Access
1 HOSPITAL RD
Oak Bluffs, MA 02557
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1194866210 (Massachusetts)
  • 184 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
651 services303 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
187 services185 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.
122 services63 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Martha's Vineyard Hospital Inc

Critical Access Hospitals · Oak Bluffs, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221300
LocationOne Hospital Road, First Fl, Wing 5, PO Box 1477Oak Bluffs, MA 02557 · Dukes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$68.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Interventional Cardiology)
41 MALL RD
BURLINGTON, MA 01805
Hospitalist
41 MALL RD
BURLINGTON, MA 01805
Registered Nurse
41 MALL RD
BURLINGTON, MA 01805
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805
Pharmacist
41 MALL RD
BURLINGTON, MA 01805
Student in an Organized Health Care Education/Training Program
41 MALL RD
BURLINGTON, MA 01805
Physician Assistant
41 MALL RD
BURLINGTON, MA 01805
Nurse Practitioner
41 MALL RD
BURLINGTON, MA 01805

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 Andrew Popelka's NPI number?

The NPI number for Andrew Popelka is 1669403523. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Andrew Popelka located?

Andrew Popelka practices at 41 Mall Rd Lahey Hospital And Medical Center, Burlington, MA 01805. The listed phone number is (781) 744-3839.

What is Andrew Popelka's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Andrew Popelka enrolled in Medicare?

Yes. Andrew Popelka 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 Andrew Popelka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Popelka reassigns Medicare benefits to 8 organizations: Beth Israel Lahey Health Primary Care, Inc. (Burlington, MA), Lahey Clinic, Inc. (Burlington, MA), Steward Medical Group, Inc (Watertown, MA), Bridgecare Provider Group Ma, PLLC (Concord, MA), Community Medical Associates, Inc. (Lawrence, MA) and 3 more organizations, listed in the Medicare section above. 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 Andrew Popelka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Popelka accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Andrew Popelka 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 Andrew Popelka affiliated with any hospitals?

According to CMS data, Andrew Popelka is affiliated with Anna Jaques Hospital and Martha's Vineyard Hospital Inc.

When was this NPI record last updated?

The NPPES record for Andrew Popelka was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.