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NELOFER HUMAYON MD
NPI 1861611089
Internal Medicine in Foxboro, MA

Active since April 25, 2007PECOS EnrolledAccepts Medicare Assignment
113 WASHINGTON ST, FOXBORO, MA 02035(774) 215-5579 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nelofer Humayon Md NPPES

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

NELOFER HUMAYON MD (NPI 1861611089) is an individual internal medicine provider in Foxboro, Massachusetts, licensed in Massachusetts (246217) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1861611089
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNELOFER HUMAYONCredential: MD
Location Address113 WASHINGTON STFoxboro, MA 02035-1332
Mailing Address113 Washington StFoxboro, MA 02035-1332 · (774) 215-5579
Phone(774) 215-5579
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateApril 25, 2007
Last NPPES UpdateApril 10, 2019
✔ NPI 1861611089 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 · 246217
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.
113 WASHINGTON ST, Foxboro, MA 02035
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Accepted Insurance

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

Nelofer Humayon 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 ID5092930834
PECOS Enrollment IDI20140710001187
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 6

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 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.
85 services34 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.
72 services22 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
69 services26 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.
29 services15 patients
Test to measure exhaled air for evaluation of lung function at rest 94690
This test, known as spirometry, measures how much and how quickly you can move air out of your lungs. It helps to assess lung function by determining the amount of airflow obstruction present. It's non-invasive and important for diagnosing respiratory conditions.
19 services19 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02035 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
$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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%155 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

NEW HORIZON LLC
Clinic/Center (Health Service)
113 WASHINGTON ST
FOXBORO, MA 02035
Norfolk County (774) 215-6179
CASEY LOUISE GALLAGHER FNP-BC
Nurse Practitioner (Family)
113 WASHINGTON ST
FOXBOROUGH, MA 02035
Norfolk County (774) 215-5579
FOXBORO SMILES, PLLC
Dentist (General Practice)
113 WASHINGTON ST
FOXBORO, MA 02035
Norfolk County (508) 543-7774
ERIN MARIE JOWETT MS, RD, LDN
Dietitian, Registered
113 WASHINGTON ST
FOXBORO, MA 02035
Norfolk County (774) 215-5579
JOEL PEARLMAN DMD
Dentist (General Practice)
113 WASHINGTON ST
FOXBORO, MA 02035
Norfolk County (508) 543-7774
HUA ZHANG MD LLC
Internal Medicine
113 WASHINGTON ST
FOXBORO, MA 02035
Norfolk County (508) 543-1553
DR. JOEL PEARLMAN D.M.D.
Dentist (General Practice)
113 WASHINGTON ST
FOXBORO, MA 02035
Norfolk County (508) 543-7774
LAURA DEMPSEY MSW, LCSW
Social Worker (Clinical)
113 WASHINGTON ST
FOXBOROUGH, MA 02035
Norfolk County (774) 215-5579

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 Nelofer Humayon's NPI number?

The NPI number for Nelofer Humayon is 1861611089. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Nelofer Humayon located?

Nelofer Humayon practices at 113 Washington St, Foxboro, MA 02035. The listed phone number is (774) 215-5579.

What is Nelofer Humayon's specialty?

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

Is Nelofer Humayon enrolled in Medicare?

Yes. Nelofer Humayon 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 Nelofer Humayon accept?

Health plans from Anthem Blue Cross and Blue Shield list Nelofer Humayon 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.

When was this NPI record last updated?

The NPPES record for Nelofer Humayon was last updated on April 10, 2019. 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.