MO KEOVONGSA P.A.
NPI 1710157300
Physician Assistant in Burlington, MA

Active since March 10, 2008PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
41 MALL RD, LAHEY CLINIC, INC., BURLINGTON, MA 01805(781) 744-7000(781) 744-5352 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mo Keovongsa P.a. NPPES

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

MO KEOVONGSA P.A. (NPI 1710157300) is an individual physician assistant in Burlington, Massachusetts, licensed in Massachusetts (PA2311) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1710157300
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMO KEOVONGSACredential: P.A.
Location Address41 MALL RD, LAHEY CLINIC, INC.Burlington, MA 01805-0001
Mailing Address41 Mall Rd, Lahey Clinic, Inc.Burlington, MA 01805-0001 · (781) 744-7000 · Fax (781) 744-5352
Fax(781) 744-5352
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 10, 2008
Last NPPES UpdateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
NPI 1710157300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · PA2311
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License AP2311 (MA)
41 MALL RD, Burlington, MA 01805

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

Mo Keovongsa P.a. 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 ID9830268754
PECOS Enrollment IDI20080519000575
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 6

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, 30-39 minutes 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.
233 services169 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
92 services83 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
61 services53 patients
New patient office or other outpatient visit, 30-44 minutes 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.
29 services29 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients
New patient office or other outpatient visit, 45-59 minutes 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

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

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

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.

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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
41 MALL RD
BURLINGTON, MA 01805
Urology
41 MALL RD, LAHEY CLINIC
BURLINGTON, MA 01805
Internal Medicine (Cardiovascular Disease)
41 MALL RD, CARDIOVASCULAR MEDICINE
BURLINGTON, MA 01805
Psychiatry & Neurology (Psychiatry)
41 MALL RD
BURLINGTON, MA 01805
Internal Medicine (Hematology & Oncology)
41 MALL RD, LAHEY CLINIC
BURLINGTON, MA 01805
Anesthesiology
41 MALL RD
BURLINGTON, MA 01805
Internal Medicine (Pulmonary Disease)
41 MALL RD, LAHEY CLINIC, INC.
BURLINGTON, MA 01805
Physician Assistant
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 Mo Keovongsa's NPI number?

The NPI number for Mo Keovongsa is 1710157300. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Where is Mo Keovongsa located?

Mo Keovongsa practices at 41 Mall Rd Lahey Clinic, Inc., Burlington, MA 01805. The listed phone number is (781) 744-7000.

What is Mo Keovongsa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mo Keovongsa enrolled in Medicare?

Yes. Mo Keovongsa 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 Mo Keovongsa affiliated with any hospitals?

According to CMS data, Mo Keovongsa is affiliated with Northeast Hospital Corporation, Emerson Hospital - and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Mo Keovongsa was last updated on July 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.