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DR. MICHAEL BLAIR TANTILLO MD
NPI 1841281227
Plastic Surgery in Chestnut Hill, MA

Active since November 03, 2005PECOS Enrolled
25 BOYLSTON STREET, SUITE 304, CHESTNUT HILL, MA 02467(617) 505-6818(617) 505-6813 Get Directions Write a Review

NPPES record last updated: November 30, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 30, 2018, Jan 20, 2017 (2 updates tracked since 2017).

About Dr. Michael Blair Tantillo Md NPPES

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

DR. MICHAEL BLAIR TANTILLO MD (NPI 1841281227) is an individual plastic surgery provider in Chestnut Hill, Massachusetts, licensed in Massachusetts (74194) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841281227
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. MICHAEL BLAIR TANTILLOCredential: MD
Location Address25 BOYLSTON STREET, SUITE 304Chestnut Hill, MA 02467
Mailing Address25 Boylston Street, Suite 304Chestnut Hill, MA 02467 · (617) 505-6818 · Fax (617) 505-6813
Phone(617) 505-6818
Fax(617) 505-6813
Sole ProprietorNo
Enumeration DateNovember 3, 2005
Last NPPES UpdateNovember 30, 20182 updates tracked since enumeration
✔ NPI 1841281227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses✔ Licensed in MA · 74194✔ Licensed in NH · 19264
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
25 BOYLSTON STREET, Chestnut Hill, MA 02467
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Secondary Practice Locations 2

Location 1100 Hitchcock WayManchester, NH 03104 · Phone (603) 695-2500
Location 225 Boylston Street, Suite 304Chestnut Hill, MA 02467 · Phone (617) 505-6818 · Fax (617) 505-6813

Other Identifiers 1

Medicaid3192873MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Blair Tantillo Md 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.

Medicare Billing Reassignments

4

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

Neda Brookline LLC
2.2 mi
Dermatology
235 CYPRESS ST STE 200
Brookline, MA 02445
  • Reassigned Medicare billing, Massachusetts enrollment
  • 5 clinicians in this Medicare group
NPI 1548746092 (978) 691-5690
Steward Medical Group, Inc
2.9 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474
Mary Hitchcock Memorial Hospital
38 mi
Psychiatric Hospital
218 EAST RD
Hampstead, NH 03841
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group
NPI 1699584219 (603) 650-5000
Dartmouth-Hitchcock Clinic
70 mi
Rehabilitation, Substance Use Disorder
24 RAILROAD ST
Keene, NH 03431
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
NPI 1174176861 (603) 354-5400

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 2

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
23 services23 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.
21 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02467 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
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAURICE EDWARD KEENAN MD
Pediatrics
25 BOYLSTON STREET
CHESTNUT HILL, MA 02467
Norfolk County (617) 244-6000

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 Michael Tantillo's NPI number?

The NPI number for Michael Tantillo is 1841281227. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Michael Tantillo located?

Michael Tantillo practices at 25 Boylston Street Suite 304, Chestnut Hill, MA 02467. The listed phone number is (617) 505-6818.

What is Michael Tantillo's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Michael Tantillo enrolled in Medicare?

Yes. Michael Tantillo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Tantillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Tantillo reassigns Medicare benefits to 4 organizations: Neda Brookline LLC (Brookline, MA), Steward Medical Group, Inc (Watertown, MA), Mary Hitchcock Memorial Hospital (Hampstead, NH) and Dartmouth-Hitchcock Clinic (Keene, NH). 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 Michael Tantillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Tantillo was last updated on November 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.