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RAFFAELLA UMETON M.D.
NPI 1801273859
Psychiatry & Neurology - Neurology in Burlington, MA

Active since April 29, 2015PECOS Enrolled
97.02/100
CMS Quality Rating
41 MALL ROAD, BURLINGTON, MA 01805(781) 744-8000 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 14, 2020, Jul 10, 2020 (2 updates tracked since 2020).

About Raffaella Umeton M.d. NPPES

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

RAFFAELLA UMETON M.D. (NPI 1801273859) is an individual neurology provider in Burlington, Massachusetts, licensed in Massachusetts (277900) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801273859
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameRAFFAELLA UMETONCredential: M.D.
Location Address41 MALL ROADBurlington, MA 01805-5235
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (008) 225-8885 · Fax (508) 334-1977
Phone(781) 744-8000
Sole ProprietorNo
Enumeration DateApril 29, 2015
Last NPPES UpdateMay 23, 20242 updates tracked since enumeration
NPPES CertifiedMay 23, 2024
✔ NPI 1801273859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MA · 277900
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License 264544 (MA)
41 MALL ROAD, Burlington, MA 01805
Open in Google Maps ↗

Other Names 1

Other Name (5)Raffaella Umeton M.d.

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 (PECOS)

Raffaella Umeton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.
34 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.
30 services26 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
22 services18 patients

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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
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.

TEMITOPE PATRICIA AWOSOGBA M.D.
Obstetrics & Gynecology
41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8560
ERIC SCOTT KERNS MD
Internal Medicine (Nephrology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-8430
DR. JONATHAN RASSI M.D.
Radiology (Diagnostic Radiology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-8170
MS. ANNE MARCIA WOODBURY MSN, CRNA
Nurse Anesthetist, Certified Registered
41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (817) 744-8132
DR. CARMI SANTOS PUNZALAN M.D.
Internal Medicine (Gastroenterology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
RUTH ELIZABETH MEDINA GUTIERREZ MD
Hospitalist
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-3839
BRITTNEY CHRISTINA LOCKE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-8610
LINDA ROSE CARUSO
Nurse Practitioner (Family)
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805
Middlesex County (781) 744-8570

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 Raffaella Umeton's NPI number?

The NPI number for Raffaella Umeton is 1801273859. It was assigned to this individual provider in the NPPES registry on April 29, 2015. The provider is also known as Raffaella Umeton M.D..

Where is Raffaella Umeton located?

Raffaella Umeton practices at 41 Mall Road, Burlington, MA 01805. The listed phone number is (781) 744-8000.

What is Raffaella Umeton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Raffaella Umeton enrolled in Medicare?

Yes. Raffaella Umeton is registered in the Medicare PECOS enrollment system.

What insurance does Raffaella Umeton accept?

Health plans from Anthem Blue Cross and Blue Shield list Raffaella Umeton 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.

When was this NPI record last updated?

The NPPES record for Raffaella Umeton was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.