AMY WALTRIP MOLDREM MD
NPI 1700958253
Surgery in Burlington, MA

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
41 MALL RD, BURLINGTON, MA 01805(781) 744-8000 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2025, Nov 7, 2017, Jan 26, 2017 and 1 more (4 updates tracked since 2016).

About Amy Waltrip Moldrem Md NPPES

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

AMY WALTRIP MOLDREM MD (NPI 1700958253) is an individual surgery provider in Burlington, Massachusetts, licensed in Massachusetts (286101) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1700958253
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameAMY WALTRIP MOLDREMCredential: MD
Location Address41 MALL RDBurlington, MA 01805-0001
Mailing Address41 Mall RdBurlington, MA 01805-0001 · (781) 744-8085
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 13, 2006
Last NPPES UpdateSeptember 16, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1700958253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MA · 286101✔ Licensed in OH · 35128160
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
41 MALL RD, Burlington, MA 01805

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

Amy Waltrip Moldrem 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 ID8224014154
PECOS Enrollment IDI20210429001061
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

2

Medicare enrollment records show Amy Moldrem reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

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
General Acute Care Hospital
1493 CAMBRIDGE ST, PROVIDER ENROLLMENT
Cambridge, MA 02139
  • Reassigned Medicare billing, Massachusetts enrollment
  • 719 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

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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

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 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
$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.

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 Amy Moldrem's NPI number?

The NPI number for Amy Moldrem is 1700958253. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Amy Moldrem located?

Amy Moldrem practices at 41 Mall Rd, Burlington, MA 01805. The listed phone number is (781) 744-8000.

What is Amy Moldrem's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Amy Moldrem enrolled in Medicare?

Yes. Amy Moldrem 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 Amy Moldrem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Moldrem reassigns Medicare benefits to 2 organizations: Lahey Clinic, Inc. (Burlington, MA) and Cambridge Public Health Commission (Cambridge, 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 Amy Moldrem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Moldrem accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Amy Moldrem 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 Amy Moldrem affiliated with any hospitals?

According to CMS data, Amy Moldrem is affiliated with Cambridge Health Alliance and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Amy Moldrem was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.