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DR. FRANCINE TON NGHIEM MD
NPI 1902862451
Internal Medicine - Rheumatology in Cambridge, MA

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
300 MOUNT AUBURN ST, STE 410, CAMBRIDGE, MA 02138(617) 868-2650(617) 868-2641 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Francine Ton Nghiem Md NPPES

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

DR. FRANCINE TON NGHIEM MD (NPI 1902862451) is an individual rheumatology provider in Cambridge, Massachusetts, licensed in Massachusetts (159803) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital Plymouth, and is a graduate of Rutgers New Jersey Medical School (1996).

NPPES Registry Identity

NPI1902862451
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. FRANCINE TON NGHIEMCredential: MD
Location Address300 MOUNT AUBURN ST, STE 410Cambridge, MA 02138-5600
Mailing Address1 Arsenal Market PlWatertown, MA 02472-5018 · (617) 673-1851 · Fax (617) 499-5579
Phone(617) 868-2650
Fax(617) 868-2641
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1996
Enumeration DateApril 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902862451 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 · 159803
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.
300 MOUNT AUBURN ST, Cambridge, MA 02138
Open in Google Maps ↗

Other Identifiers 3

Medicaid0199818MA
Medicare UPINH66698MA
Medicare ID-Type UnspecifiedA34391MA

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. Francine Ton Nghiem 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 ID4981675865
PECOS Enrollment IDI20040804000425
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 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.
88 services63 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.
60 services35 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 services17 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.
24 services18 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.
22 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Beth Israel Deaconess Hospital Plymouth

Acute Care Hospitals · Plymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220060
Location275 Sandwich StreetPlymouth, MA 02360 · Plymouth County
Emergency services Birthing friendly

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220083
Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County
Emergency services

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk 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 02138 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.

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.

DR. MARGARET LOVE MCLAUGHLIN M.D.
Internal Medicine (Nephrology)
300 MOUNT AUBURN ST, SUITE 515
CAMBRIDGE, MA 02138
Middlesex County (617) 864-1571
RODERICK H CROCKER JR. MD
Urology
300 MOUNT AUBURN ST, STE 519
CAMBRIDGE, MA 02138
Middlesex County (617) 547-4400
DR. THOMAS CAUGHEY MD
Internal Medicine (Hematology & Oncology)
300 MOUNT AUBURN ST, HEMA/ONC
CAMBRIDGE, MA 02138
Middlesex County (617) 497-9646
MISS JOANNE BRUNY NP
Nurse Practitioner (Family)
300 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Middlesex County (617) 492-3500
CAMBRIDGE OTOLARYNGOLOGY
Otolaryngology
300 MOUNT AUBURN ST, SUITE 308
CAMBRIDGE, MA 02138
Middlesex County (617) 354-1010
KAREN L AHLERT M.D.
Surgery
300 MOUNT AUBURN ST, SUITE 407
CAMBRIDGE, MA 02138
Middlesex County (617) 868-7456
DR. SHILPA JOSHI DESAI MD
Ophthalmology
300 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Middlesex County (617) 499-5571
DR. JULIO C. AYALA MD
Internal Medicine (Gastroenterology)
300 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Middlesex County (617) 499-0026

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 Francine Ton Nghiem's NPI number?

The NPI number for Francine Ton Nghiem is 1902862451. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Francine Ton Nghiem located?

Francine Ton Nghiem practices at 300 Mount Auburn St Ste 410, Cambridge, MA 02138. The listed phone number is (617) 868-2650.

What is Francine Ton Nghiem's specialty?

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

Is Francine Ton Nghiem enrolled in Medicare?

Yes. Francine Ton Nghiem 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 Francine Ton Nghiem accept?

Health plans from Anthem Blue Cross and Blue Shield list Francine Ton Nghiem 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 Francine Ton Nghiem affiliated with any hospitals?

According to CMS data, Francine Ton Nghiem is affiliated with Beth Israel Deaconess Hospital Plymouth, Beth Israel Deaconess Hospital - Needham, Beth Israel Deaconess Medical Center and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Francine Ton Nghiem was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.