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JUSTINE M GELINAS DO
NPI 1710933403
Obstetrics & Gynecology in Swampscott, MA

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
383 PARADISE RD, SWAMPSCOTT, MA 01907(781) 599-2600(781) 599-1714 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justine M Gelinas Do NPPES

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

JUSTINE M GELINAS DO (NPI 1710933403) is an individual obstetrics & gynecology provider in Swampscott, Massachusetts, licensed in Massachusetts (79674) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of University Of New England, College Of Osteo Medicine (1984).

NPPES Registry Identity

NPI1710933403
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJUSTINE M GELINASCredential: DO
Location Address383 PARADISE RDSwampscott, MA 01907
Mailing AddressPo Box 930Salem, MA 01970 · (978) 825-6581 · Fax (978) 825-7070
Phone(781) 599-2600
Fax(781) 599-1714
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1984
Enumeration DateMay 25, 2006
Last NPPES UpdateFebruary 10, 2012
✔ NPI 1710933403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 79674
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
383 PARADISE RD, Swampscott, MA 01907
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Other Identifiers 3

Medicare ID-Type UnspecifiedJ31020
Medicaid3132471MA
Medicare UPINF97402

Accepted Insurance

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

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

Justine M Gelinas Do 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 ID3779562848
PECOS Enrollment IDI20040714000664
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 8

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 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.
141 services103 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
77 services77 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.
68 services62 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
51 services51 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.
19 services19 patients
Biopsy of lining of uterus and/or removal of polyp using an endoscope 58558
This procedure involves using a thin, flexible tool (endoscope) to examine and possibly remove a small tissue sample from the inner layer of your uterus. It may also involve removing a growth. It helps to identify any issues and plan the right treatment.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01907 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 3

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

KELLY MIZRAJI MD
Obstetrics & Gynecology
383 PARADISE RD
SWAMPSCOTT, MA 01907
Essex County (781) 599-2600
CHRISTOPHER J COFFEY MD
Obstetrics & Gynecology
383 PARADISE RD
SWAMPSCOTT, MA 01907
Essex County (781) 599-2600
TIFFANY ANDREA PHYOE-BATTAGLIA M.D.
Obstetrics & Gynecology
383 PARADISE RD
SWAMPSCOTT, MA 01907
Essex County (781) 599-2600

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 Justine Gelinas's NPI number?

The NPI number for Justine Gelinas is 1710933403. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Justine Gelinas located?

Justine Gelinas practices at 383 Paradise Rd, Swampscott, MA 01907. The listed phone number is (781) 599-2600.

What is Justine Gelinas's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Justine Gelinas enrolled in Medicare?

Yes. Justine Gelinas 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.

What insurance does Justine Gelinas accept?

Health plans from Anthem Blue Cross and Blue Shield list Justine Gelinas 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 Justine Gelinas affiliated with any hospitals?

According to CMS data, Justine Gelinas is affiliated with North Shore Medical Center -, Massachusetts General Hospital and Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for Justine Gelinas was last updated on February 10, 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.