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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. NICOLA MOGAVERO M.D.
NPI 1871575548
Internal Medicine - Rheumatology in Melrose, MA

Active since November 17, 2005PECOS Enrolled
75/100
CMS Quality Rating
792 MAIN ST, MELROSE, MA 02176(781) 665-9066(781) 662-9758 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicola Mogavero M.d. NPPES

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

DR. NICOLA MOGAVERO M.D. (NPI 1871575548) is an individual rheumatology provider in Melrose, Massachusetts, licensed in Massachusetts (81784) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1871575548
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. NICOLA MOGAVEROCredential: M.D.
Location Address792 MAIN STMelrose, MA 02176-2710
Mailing Address792 Main StMelrose, MA 02176-2710 · (781) 665-9066 · Fax (781) 662-9758
Phone(781) 665-9066
Fax(781) 662-9758
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateNovember 17, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1871575548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in MA · 81784
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

792 MAIN ST, Melrose, MA 02176
Open in Google Maps ↗

Other Identifiers 4

Medicaid3176886MA
OtherJ18677MA · Bcbs
Other66877MA · Hphc
Other778258MA · Tufts/secure Horizons

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

Dr. Nicola Mogavero 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 ID1355501701
PECOS Enrollment IDI20120322000485
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 7

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.
349 services179 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
324 services73 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.
275 services128 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
124 services43 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
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
30 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex 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

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02176 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 4

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

MICHAEL N WEINSTEIN M.D.
Internal Medicine
792 MAIN ST
MELROSE, MA 02176
Middlesex County (781) 662-7037
DR. ROGER L KINNARD MD
Neurological Surgery
792 MAIN ST
MELROSE, MA 02176
Middlesex County (781) 665-2255
NICOLA MOGAVERO MD FACR
Clinic/Center
792 MAIN ST
MELROSE, MA 02176
Middlesex County (781) 665-9066
MELROSE MEDICAL ASSOCIATES
Specialist
792 MAIN ST
MELROSE, MA 02176
Middlesex County (781) 662-7037

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 Nicola Mogavero's NPI number?

The NPI number for Nicola Mogavero is 1871575548. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Nicola Mogavero located?

Nicola Mogavero practices at 792 Main St, Melrose, MA 02176. The listed phone number is (781) 665-9066.

What is Nicola Mogavero's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Nicola Mogavero enrolled in Medicare?

Yes. Nicola Mogavero 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 Nicola Mogavero accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicola Mogavero 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 Nicola Mogavero affiliated with any hospitals?

According to CMS data, Nicola Mogavero is affiliated with Melrosewakefield Healthcare, Winchester Hospital and Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Nicola Mogavero was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.