EMMA BABAYAN MD
NPI 1861460016
Internal Medicine in Methuen, MA

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
386 MERRIMACK ST, METHUEN, MA 01844(978) 688-1220 Get Directions Write a Review

NPPES record last updated: December 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emma Babayan Md NPPES

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

EMMA BABAYAN MD (NPI 1861460016) is an individual internal medicine provider in Methuen, Massachusetts, licensed in Massachusetts (159467) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1861460016
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameEMMA BABAYANCredential: MD
Location Address386 MERRIMACK STMethuen, MA 01844-5885
Mailing Address7 Heritage LaneSaugus, MA 01906
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateMarch 14, 2006
Last NPPES UpdateDecember 22, 2024
NPPES CertifiedDecember 22, 2024
NPI 1861460016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 159467
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
386 MERRIMACK ST, Methuen, MA 01844

Other Identifiers 1

Medicaid3204634MA

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

Emma Babayan 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 ID6002931482
PECOS Enrollment IDI20100909000608
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 4

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.
240 services144 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
125 services125 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.
122 services90 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

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

Holy Family Hospital

Acute Care Hospitals · Methuen, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220080
Location70 East StreetMethuen, MA 01844 · Essex 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 01844 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers16 claims61 services$6.14 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$13.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$63.52 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 9

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

Physical Therapist
386 MERRIMACK ST
METHUEN, MA 01844
Physical Therapist
386 MERRIMACK ST
METHUEN, MA 01844
Podiatrist
386 MERRIMACK ST, SUITE 1 B
METHUEN, MA 01844
Podiatrist
386 MERRIMACK ST, SUITE 1B
METHUEN, MA 01844
Physical Therapist
386 MERRIMACK ST
METHUEN, MA 01844
Speech-Language Pathologist
386 MERRIMACK ST
METHUEN, MA 01844
Speech-Language Pathologist
386 MERRIMACK ST
METHUEN, MA 01844
Speech-Language Pathologist
386 MERRIMACK ST
METHUEN, MA 01844

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 Emma Babayan's NPI number?

The NPI number for Emma Babayan is 1861460016. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Emma Babayan located?

Emma Babayan practices at 386 Merrimack St, Methuen, MA 01844. The listed phone number is (978) 688-1220.

What is Emma Babayan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Emma Babayan enrolled in Medicare?

Yes. Emma Babayan 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 Emma Babayan accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Emma Babayan 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 Emma Babayan affiliated with any hospitals?

According to CMS data, Emma Babayan is affiliated with Lawrence General Hospital, Anna Jaques Hospital, Northeast Hospital Corporation, Holy Family Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Emma Babayan was last updated on December 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.