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DR. JONATHAN H OPPENHEIM MD
NPI 1720152085
Emergency Medicine in Lowell, MA

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
99.51/100
CMS Quality Rating
1 HOSPITAL DR, SAINTS MEDICAL CENTER, LOWELL, MA 01852(978) 458-1411 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jonathan H Oppenheim Md NPPES

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

DR. JONATHAN H OPPENHEIM MD (NPI 1720152085) is an individual emergency medicine provider in Lowell, Massachusetts, licensed in Massachusetts (54197) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and is a graduate of University Of Massachusetts Medical School (1982).

NPPES Registry Identity

NPI1720152085
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JONATHAN H OPPENHEIMCredential: MD
Location Address1 HOSPITAL DR, SAINTS MEDICAL CENTERLowell, MA 01852-1311
Mailing Address1230 Bridge StLowell, MA 01850 · (978) 453-3022 · Fax (978) 453-9330
Phone(978) 458-1411
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1982
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720152085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 54197
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 HOSPITAL DR, Lowell, MA 01852
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Other Identifiers 4

Medicare UPINB74829
Other54197MA · Tufts Health
Medicaid3021033MA
Medicare ID-Type UnspecifiedJ06406MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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

Dr. Jonathan H Oppenheim 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 ID2860449857
PECOS Enrollment IDI20050401000315
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
373 services351 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
156 services149 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.
37 services36 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01852 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
$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.

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.

99.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.16
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.

DR. MATTHEW BORDEN PHARMD
Pharmacist
1 HOSPITAL DR
LOWELL, MA 01852
Middlesex County (978) 937-6000
DO NOT USE - THE LOWELL GENERAL HOSPITAL
General Acute Care Hospital
1 HOSPITAL DR
LOWELL, MA 01852
Middlesex County (978) 458-1411
GILLIAN GRAY
Registered Nurse
1 HOSPITAL DR
LOWELL, MA 01852
Middlesex County (978) 458-1411
MRS. MAUREEN E SCHAEFER
Physical Therapist
1 HOSPITAL DR
LOWELL, MA 01852
Middlesex County (978) 458-1411
EMILY REBECCA O'BRIEN LICSW
Social Worker (Clinical)
1 HOSPITAL DR
LOWELL, MA 01852
Middlesex County (978) 995-0313
ST JOHNS EMERGENCY ASSOC
Emergency Medicine
1 HOSPITAL DR, SAINTS MEDICAL CENTER
LOWELL, MA 01852
Middlesex County (978) 458-1411
MRS. ASHLEY LOUISE TOBEY PMH-NP
Clinical Nurse Specialist (Psychiatric/Mental Health)
1 HOSPITAL DR
LOWELL, MA 01852
Middlesex County (978) 934-8515
ALECIA HARRINGTON
Registered Nurse
1 HOSPITAL DR
LOWELL, MA 01852
Middlesex County (978) 458-1411

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 Jonathan Oppenheim's NPI number?

The NPI number for Jonathan Oppenheim is 1720152085. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Jonathan Oppenheim located?

Jonathan Oppenheim practices at 1 Hospital Dr Saints Medical Center, Lowell, MA 01852. The listed phone number is (978) 458-1411.

What is Jonathan Oppenheim's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jonathan Oppenheim enrolled in Medicare?

Yes. Jonathan Oppenheim 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 Jonathan Oppenheim accept?

Health plans from WellSense Health Plan list Jonathan Oppenheim 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 Jonathan Oppenheim affiliated with any hospitals?

According to CMS data, Jonathan Oppenheim is affiliated with Lowell General Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Oppenheim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.