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DAVID M BRABECK M.D.
NPI 1861661183
Hospitalist in Burlington, MA

Active since February 21, 2008PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805(781) 744-5100 Get Directions Write a Review

NPPES record last updated: October 27, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David M Brabeck M.d. NPPES

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

DAVID M BRABECK M.D. (NPI 1861661183) is an individual hospitalist provider in Burlington, Massachusetts, licensed in Massachusetts (234835) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of State University Of New York Downstate Medical Center (2005).

NPPES Registry Identity

NPI1861661183
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDAVID M BRABECKCredential: M.D.
Location AddressLAHEY CLINIC, 41 MALL ROADBurlington, MA 01805-0001
Mailing Address41 Mall RdBurlington, MA 01805-0001 · (781) 744-5100
Phone(781) 744-5100
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2005
Enumeration DateFebruary 21, 2008
Last NPPES UpdateOctober 27, 2010
✔ NPI 1861661183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MA · 234835
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 234835 (MA)
LAHEY CLINIC, Burlington, MA 01805
Open in Google Maps ↗

Other Identifiers 2

Medicaid110079745AMA
Medicare PIN000595501MA

Accepted Insurance

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

David M Brabeck M.d. 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 ID5395818587
PECOS Enrollment IDI20080722000083, I20241101001042
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
155 services74 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.
151 services147 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.
92 services91 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.
76 services76 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.
48 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services47 patients

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, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex 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 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.

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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

KRISTEN M ROBSON MD
Internal Medicine (Gastroenterology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8699
DR. THOMAS M BRAND M.D.
Emergency Medicine
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
CHRISTINE B. THOMAS M.D.
Pathology (Anatomic Pathology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
DAVID A ROSMAN M.D.
Radiology (Diagnostic Radiology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8170
FREDERICK W HEISS MD
Internal Medicine (Gastroenterology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-5100
DR. STEPHEN R FREIDBERG MD
Neurological Surgery
LAHEY CLINIC, 41 MALL RD.
BURLINGTON, MA 01805
Middlesex County (781) 744-8085
JULIE ALAYNE OUELLETTE C.R.N.A.
Nurse Anesthetist, Certified Registered
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8132
DR. JONATHAN S. SILVER M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8460

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 David Brabeck's NPI number?

The NPI number for David Brabeck is 1861661183. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Where is David Brabeck located?

David Brabeck practices at Lahey Clinic 41 Mall Road, Burlington, MA 01805. The listed phone number is (781) 744-5100.

What is David Brabeck's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is David Brabeck enrolled in Medicare?

Yes. David Brabeck 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 David Brabeck accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list David Brabeck 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 David Brabeck affiliated with any hospitals?

According to CMS data, David Brabeck 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 David Brabeck was last updated on October 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.