KATHLEEN A. GARABEDIAN NP
NPI 1801295431
Nurse Practitioner in Burlington, MA

Q: What is Kathleen Garabedian's NPI number?

The NPI number for Kathleen Garabedian is 1801295431. It was assigned to this individual provider in the NPPES registry on August 20, 2014.

Q: What is Kathleen Garabedian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 20, 2014PECOS EnrolledAccepts Medicare Assignment

91.41/100

CMS Quality Rating

41 MALL RD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805(781) 744-8570(781) 744-5641 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kathleen A. Garabedian Np NPPES

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

KATHLEEN A. GARABEDIAN NP (NPI 1801295431) is an individual nurse practitioner in Burlington, Massachusetts, licensed in Massachusetts (2261572) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of University Of Massachusetts Medical School (2014).

NPPES Registry Identity

NPI1801295431

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKATHLEEN A. GARABEDIANCredential: NP

Location Address41 MALL RD, LAHEY HOSPITAL AND MEDICAL CENTERBurlington, MA 01805-0001

Mailing Address41 Mall Rd, Lahey Hospital And Medical CenterBurlington, MA 01805-0001 · (781) 744-8570 · Fax (781) 744-5641

Phone(781) 744-8570

Fax(781) 744-5641

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2014

Enumeration DateAugust 20, 2014

✔ NPI 1801295431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MA · 2261572

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

41 MALL RD, Burlington, MA 01805

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Accepted Insurance

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

Kathleen A. Garabedian Np 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 ID1355561531

PECOS Enrollment IDI20141010001164

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 7

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.

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

64 services58 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.

35 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.

34 services34 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

28 services26 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.

22 services17 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services18 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

Winchester Hospital

Acute Care Hospitals · Winchester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220105

Location41 Highland AvenueWinchester, MA 01890 · 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

$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.

91.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.87

Promoting Interoperability

100

Improvement Activities

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.

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