MARK P GILLIGAN MD
NPI 1811922917
Orthopaedic Surgery in Burlington, MA
About Mark P Gilligan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK P GILLIGAN MD (NPI 1811922917) is an individual orthopaedic surgery provider in Burlington, Massachusetts, licensed in Massachusetts (81757) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Warren Alpert Medical School Of Brown University (1989).
NPPES Registry Identity
Specialties & Licenses
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Accepted 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
Mark P Gilligan 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.
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.
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, MAWinchester Hospital
Acute Care Hospitals · Winchester, MALahey Hospital & Medical Center, Burlington
Acute Care Hospitals · Burlington, MAPhysician 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.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURLINGTON, MA 01805
BURLINGTON, MA 01805
BURLINGTON, MA 01805
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 Mark Gilligan's NPI number?
The NPI number for Mark Gilligan is 1811922917. It was assigned to this individual provider in the NPPES registry on July 11, 2006.
Where is Mark Gilligan located?
Mark Gilligan practices at 41 Mall Road, Burlington, MA 01805. The listed phone number is (781) 744-8650.
What is Mark Gilligan's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Mark Gilligan enrolled in Medicare?
Yes. Mark Gilligan 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 Mark Gilligan accept?
Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Mark Gilligan 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 Mark Gilligan affiliated with any hospitals?
According to CMS data, Mark Gilligan is affiliated with Northeast Hospital Corporation, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.
When was this NPI record last updated?
The NPPES record for Mark Gilligan was last updated on December 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.