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MICHAEL H. FATTAL M.D,
NPI 1679756704
Otolaryngology - Facial Plastic Surgery in Concord, MA

Active since December 12, 2007PECOS EnrolledAccepts Medicare Assignment
54 BAKER AVENUE EXT, SUITE 303, CONCORD, MA 01742(978) 369-8780(978) 369-1043 Get Directions Write a Review

NPPES record last updated: July 3, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael H. Fattal M.d, NPPES

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

MICHAEL H. FATTAL M.D, (NPI 1679756704) is an individual facial plastic surgery provider in Concord, Massachusetts, licensed in Massachusetts (246526) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Massachusetts Eye And Ear Infirmary -, and is a graduate of State University Of Ny Upstate Medical University (2006).

NPPES Registry Identity

NPI1679756704
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameMICHAEL H. FATTALCredential: M.D,
Location Address54 BAKER AVENUE EXT, SUITE 303Concord, MA 01742-2137
Mailing Address54 Baker Avenue Ext, Suite 303Concord, MA 01742-2137 · (978) 369-8780 · Fax (978) 369-1043
Phone(978) 369-8780
Fax(978) 369-1043
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2006
Enumeration DateDecember 12, 2007
Last NPPES UpdateJuly 3, 2012
✔ NPI 1679756704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in MA · 246526
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 246526 (MA)
54 BAKER AVENUE EXT, Concord, MA 01742
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN002324801MA
Medicaid110089465AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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

Michael H. Fattal 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 ID6507037066
PECOS Enrollment IDI20110914000413
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 Reassignment

Medicare enrollment records show Michael Fattal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Massachusetts Eye And Ear Associates, Inc.
17 mi
Ophthalmology
243 CHARLES ST
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 478 clinicians in this Medicare group
NPI 1932574332 (617) 523-7900

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 7

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 impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
478 services353 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.
245 services216 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
165 services165 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.
157 services157 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
116 services110 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.
99 services94 patients

Hospital Affiliations CMS Care Compare 2

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

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 15

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

DR. DONALD A DRISCOLL JR. M.D.
Orthopaedic Surgery
54 BAKER AVENUE EXT, SUITE 200
CONCORD, MA 01742
Middlesex County (978) 369-5391
DR. JOHN J MCINNIS M.D.
Orthopaedic Surgery
54 BAKER AVENUE EXT, SUITE 200
CONCORD, MA 01742
Middlesex County (978) 369-5391
DEAN C. HOWARD M.D.
Orthopaedic Surgery
54 BAKER AVENUE EXT
CONCORD, MA 01742
Middlesex County (978) 369-1337
MARGARET R HUNTER PA-C
Physician Assistant
54 BAKER AVENUE EXT, SUITE 200
CONCORD, MA 01742
Middlesex County (978) 369-5391
KRISTEN E CORCORAN PA-C
Physician Assistant
54 BAKER AVENUE EXT
CONCORD, MA 01742
Middlesex County (978) 369-5391
CONCORD SLEEP ASSOCIATES LLC
Internal Medicine (Sleep Medicine)
54 BAKER AVENUE EXT, STE 301
CONCORD, MA 01742
Middlesex County (857) 719-6556
BDL MASS LLC
Dermatology
54 BAKER AVENUE EXT
CONCORD, MA 01742
Middlesex County (978) 371-7010
MS. ALLISON P. LEARNED NP
Nurse Practitioner
54 BAKER AVENUE EXT
CONCORD, MA 01742
Middlesex County (774) 202-9020

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 Fattal's NPI number?

The NPI number for Michael Fattal is 1679756704. It was assigned to this individual provider in the NPPES registry on December 12, 2007.

Where is Michael Fattal located?

Michael Fattal practices at 54 Baker Avenue Ext Suite 303, Concord, MA 01742. The listed phone number is (978) 369-8780.

What is Michael Fattal's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Michael Fattal enrolled in Medicare?

Yes. Michael Fattal 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 organization bills Medicare for Michael Fattal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Fattal reassigns Medicare benefits to Massachusetts Eye And Ear Associates, Inc. (Boston, MA). The 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 Michael Fattal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Fattal accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Michael Fattal 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 Fattal affiliated with any hospitals?

According to CMS data, Michael Fattal is affiliated with Massachusetts Eye And Ear Infirmary - and Emerson Hospital -.

When was this NPI record last updated?

The NPPES record for Michael Fattal was last updated on July 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.