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DAVID JOHN LESNIK MD
NPI 1871564831
Otolaryngology in Stoneham, MA

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
1 MONTVALE AVE, SUITE 203, STONEHAM, MA 02180(617) 279-0971(617) 573-5646 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David John Lesnik Md NPPES

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

DAVID JOHN LESNIK MD (NPI 1871564831) is an individual otolaryngology provider in Stoneham, Massachusetts, licensed in Massachusetts (235052) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Drexel University College Of Medicine (2000).

NPPES Registry Identity

NPI1871564831
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDAVID JOHN LESNIKCredential: MD
Location Address1 MONTVALE AVE, SUITE 203Stoneham, MA 02180-3559
Mailing Address104 Endicott St Ste 100Danvers, MA 01923-0009 · (978) 745-6601 · Fax (978) 624-4040
Phone(617) 279-0971
Fax(617) 573-5646
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2000
Enumeration DateJanuary 30, 2006
Last NPPES UpdateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1871564831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MA · 235052
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1 MONTVALE AVE, Stoneham, MA 02180
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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, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David John Lesnik 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 ID4082654835
PECOS Enrollment IDI20080927000067
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

3

Medicare enrollment records show David Lesnik reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ear, Nose & Throat Consultants, Inc
3.2 mi
Otolaryngology
100 TRADECENTER, SUITE 750
Woburn, MA 01801
  • Reassigned Medicare billing, Massachusetts enrollment
  • 8 clinicians in this Medicare group
NPI 1942209655 (781) 937-3001
Hallmark Health Medical Associates Inc
3.8 mi
Family Medicine
170 GOVERNORS AVE, ATTN: PROVIDER ENROLLMENT
Medford, MA 02155
  • Reassigned Medicare billing, Massachusetts enrollment
  • 246 clinicians in this Medicare group
NPI 1770563900 (781) 338-7521
North Shore Ear, Nose & Throat Associates, PC
10 mi
Otolaryngology
55 HIGHLAND AVE
Salem, MA 01970
  • Reassigned Medicare billing, Massachusetts enrollment
  • 19 clinicians in this Medicare group
NPI 1619940780 (978) 745-6601

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 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.
154 services130 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
111 services103 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.
83 services63 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
70 services61 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.
48 services48 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.
44 services44 patients

Hospital Affiliations CMS Care Compare 2

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

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 02180 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.

Other Providers at the Same Location NPPES 2

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

MRS. MARY ELLEN KISTLER PA-C
Physician Assistant (Medical)
1 MONTVALE AVE, STE 502
STONEHAM, MA 02180
Middlesex County (781) 279-0971
DR. DAVID E. NASH M.D.
Otolaryngology
1 MONTVALE AVE, SUITE 502
STONEHAM, MA 02180
Middlesex County (781) 279-0971

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 Lesnik's NPI number?

The NPI number for David Lesnik is 1871564831. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is David Lesnik located?

David Lesnik practices at 1 Montvale Ave Suite 203, Stoneham, MA 02180. The listed phone number is (617) 279-0971.

What is David Lesnik's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is David Lesnik enrolled in Medicare?

Yes. David Lesnik 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.

Which organizations bill Medicare for David Lesnik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Lesnik reassigns Medicare benefits to 3 organizations: Ear, Nose & Throat Consultants, Inc (Woburn, MA), Hallmark Health Medical Associates Inc (Medford, MA) and North Shore Ear, Nose & Throat Associates, PC (Salem, MA). 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 David Lesnik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Lesnik accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list David Lesnik 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 Lesnik affiliated with any hospitals?

According to CMS data, David Lesnik is affiliated with Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for David Lesnik was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.