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PAUL D LAFONTAINE MD
NPI 1851390165
Urology in Cambridge, MA

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
300 MOUNT AUBURN ST, STE 519, CAMBRIDGE, MA 02138(617) 547-4400(617) 576-1076 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul D Lafontaine Md NPPES

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

PAUL D LAFONTAINE MD (NPI 1851390165) is an individual urology provider in Cambridge, Massachusetts, licensed in Massachusetts (205351) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (1993).

NPPES Registry Identity

NPI1851390165
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NamePAUL D LAFONTAINECredential: MD
Location Address300 MOUNT AUBURN ST, STE 519Cambridge, MA 02138-5600
Mailing Address300 Mount Auburn St, Suite 519Cambridge, MA 02138-5600 · (617) 547-4400 · Fax (617) 576-1076
Phone(617) 547-4400
Fax(617) 576-1076
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1993
Enumeration DateJuly 19, 2005
Last NPPES UpdateJune 1, 2016
✔ NPI 1851390165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MA · 205351
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
300 MOUNT AUBURN ST, Cambridge, MA 02138
Open in Google Maps ↗

Other Identifiers 4

Medicaid0113476MA
Medicare PINA32055MA
Medicare UPINH38611
Medicare PINQX9386MA

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

Paul D Lafontaine 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.

PECOS PAC ID8820013527
PECOS Enrollment IDI20051012000142
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 9

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 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.
186 services165 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.
143 services127 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.
77 services77 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
39 services37 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.
32 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 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 02138 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers18 claims3,460 services$1.65 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers17 claims3,840 services$6.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MARGARET LOVE MCLAUGHLIN M.D.
Internal Medicine (Nephrology)
300 MOUNT AUBURN ST, SUITE 515
CAMBRIDGE, MA 02138
Middlesex County (617) 864-1571
RODERICK H CROCKER JR. MD
Urology
300 MOUNT AUBURN ST, STE 519
CAMBRIDGE, MA 02138
Middlesex County (617) 547-4400
DR. THOMAS CAUGHEY MD
Internal Medicine (Hematology & Oncology)
300 MOUNT AUBURN ST, HEMA/ONC
CAMBRIDGE, MA 02138
Middlesex County (617) 497-9646
MISS JOANNE BRUNY NP
Nurse Practitioner (Family)
300 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Middlesex County (617) 492-3500
CAMBRIDGE OTOLARYNGOLOGY
Otolaryngology
300 MOUNT AUBURN ST, SUITE 308
CAMBRIDGE, MA 02138
Middlesex County (617) 354-1010
KAREN L AHLERT M.D.
Surgery
300 MOUNT AUBURN ST, SUITE 407
CAMBRIDGE, MA 02138
Middlesex County (617) 868-7456
DR. SHILPA JOSHI DESAI MD
Ophthalmology
300 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Middlesex County (617) 499-5571
DR. JULIO C. AYALA MD
Internal Medicine (Gastroenterology)
300 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Middlesex County (617) 499-0026

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 Paul Lafontaine's NPI number?

The NPI number for Paul Lafontaine is 1851390165. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Paul Lafontaine located?

Paul Lafontaine practices at 300 Mount Auburn St Ste 519, Cambridge, MA 02138. The listed phone number is (617) 547-4400.

What is Paul Lafontaine's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Paul Lafontaine enrolled in Medicare?

Yes. Paul Lafontaine 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.

Is Paul Lafontaine affiliated with any hospitals?

According to CMS data, Paul Lafontaine is affiliated with Mount Auburn Hospital and Emerson Hospital -.

When was this NPI record last updated?

The NPPES record for Paul Lafontaine was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.