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DR. MARIANELA LAVENA M.D.
NPI 1760647770
Family Medicine in Bolton, MA

Active since July 20, 2008PECOS Enrolled
563 MAIN ST, BOLTON, MA 01740(978) 586-3939(978) 586-3855 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2020, Sep 21, 2017 (2 updates tracked since 2017).

About Dr. Marianela Lavena M.d. NPPES

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

DR. MARIANELA LAVENA M.D. (NPI 1760647770) is an individual family medicine provider in Bolton, Massachusetts, licensed in Massachusetts (272126) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1760647770
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIANELA LAVENACredential: M.D.
Location Address563 MAIN STBolton, MA 01740-1300
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(978) 586-3939
Fax(978) 586-3855
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 20, 2008
Last NPPES UpdateDecember 11, 20202 updates tracked since enumeration
NPPES CertifiedDecember 11, 2020
✔ NPI 1760647770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MA · 272126✔ Licensed in AR · E6605
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
563 MAIN ST, Bolton, MA 01740
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marianela Lavena M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769642172
PECOS Enrollment IDI20171201000678
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

4

Medicare enrollment records show Marianela Lavena reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Umass Memorial Medical Group Inc
14 mi
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1760445373 (508) 334-1000
Inner Healing Medical PLLC
21 mi
Family Medicine
465 WAVERLEY OAKS RD STE 201
Waltham, MA 02452
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4 clinicians in this Medicare group
NPI 1700566635 (781) 614-7800
Five Journeys, PC
22 mi
Family Medicine
181 WELLS AVE, SUITE 202
Newton, MA 02459
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6 clinicians in this Medicare group
NPI 1558731711 (617) 934-6400
President & Fellows Of Harvard College
25 mi
Multi-Specialty
75 MOUNT AUBURN ST
Cambridge, MA 02138
  • Reassigned Medicare billing, Massachusetts enrollment
  • 170 clinicians in this Medicare group
NPI 1952366312 (617) 496-9506

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 3

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.
144 services33 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.
15 services11 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01740 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

TMJ & SLEEP THERAPY CENTRE OF NEW ENGLAND
Dentist (Orofacial Pain)
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 779-0865
ANAS ALHOSSIN
Dentist
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 779-2888
MARK T. COLLINS MD
Family Medicine
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 586-3939
ROBIN J BONAZZOLI LIC. AC.
Acupuncturist
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 779-9872
MICHAEL SCHLEWET M.D
Otolaryngology
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 705-2755
BOLTON GENERAL & COSMETIC DENTISTRY PC
Dentist (General Practice)
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 779-2888
LINDA FARNSWORTH BROWN M.D.
Family Medicine
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 586-3939
HANNAH ELIZABETH NOYES
Dentist (General Practice)
563 MAIN ST
BOLTON, MA 01740
Worcester County (978) 779-2888

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 Marianela Lavena's NPI number?

The NPI number for Marianela Lavena is 1760647770. It was assigned to this individual provider in the NPPES registry on July 20, 2008.

Where is Marianela Lavena located?

Marianela Lavena practices at 563 Main St, Bolton, MA 01740. The listed phone number is (978) 586-3939.

What is Marianela Lavena's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marianela Lavena enrolled in Medicare?

Yes. Marianela Lavena is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marianela Lavena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marianela Lavena reassigns Medicare benefits to 4 organizations: Umass Memorial Medical Group Inc (Worcester, MA), Inner Healing Medical PLLC (Waltham, MA), Five Journeys, PC (Newton, MA) and President & Fellows Of Harvard College (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 Marianela Lavena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marianela Lavena accept?

Health plans from Anthem Blue Cross and Blue Shield list Marianela Lavena 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 Marianela Lavena affiliated with any hospitals?

According to CMS data, Marianela Lavena is affiliated with Mount Auburn Hospital and Emerson Hospital -.

When was this NPI record last updated?

The NPPES record for Marianela Lavena was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.