DR. DAWN ANDERSON MD
NPI 1952372088
Obstetrics & Gynecology in Burlington, MA

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805(781) 744-8560(781) 744-5398 Get Directions Write a Review

NPPES record last updated: April 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Dawn Anderson Md NPPES

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

DR. DAWN ANDERSON MD (NPI 1952372088) is an individual obstetrics & gynecology provider in Burlington, Massachusetts, licensed in Massachusetts (213601) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Lahey Hospital & Medical Center, Burlington, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1998).

NPPES Registry Identity

NPI1952372088
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. DAWN ANDERSONCredential: MD
Location AddressLAHEY CLINIC, 41 MALL RD.Burlington, MA 01805-0001
Mailing AddressLahey Clinic, 41 Mall Rd.Burlington, MA 01805-0001 · (781) 744-8560 · Fax (781) 744-5398
Fax(781) 744-5398
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1998
Enumeration DateJanuary 27, 2006
Last NPPES UpdateApril 23, 2013
NPI 1952372088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MA · 213601
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
LAHEY CLINIC, Burlington, MA 01805

Other Identifiers 2

Medicaid110006490AMA
Medicare PINA34294MA

Accepted 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. Dawn Anderson 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 ID6800886367
PECOS Enrollment IDI20040517000091
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 5

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
82 services82 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
44 services44 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.
41 services32 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.
16 services16 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.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

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
$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.

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.

Internal Medicine (Gastroenterology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Emergency Medicine
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Pathology (Anatomic Pathology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Radiology (Diagnostic Radiology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Internal Medicine (Gastroenterology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Neurological Surgery
LAHEY CLINIC, 41 MALL RD.
BURLINGTON, MA 01805
Nurse Anesthetist, Certified Registered
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805
Internal Medicine (Clinical Cardiac Electrophysiology)
LAHEY CLINIC, 41 MALL ROAD
BURLINGTON, MA 01805

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 Dawn Anderson's NPI number?

The NPI number for Dawn Anderson is 1952372088. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Dawn Anderson located?

Dawn Anderson practices at Lahey Clinic 41 Mall Rd., Burlington, MA 01805. The listed phone number is (781) 744-8560.

What is Dawn Anderson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Dawn Anderson enrolled in Medicare?

Yes. Dawn Anderson 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 Dawn Anderson accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Dawn Anderson 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 Dawn Anderson affiliated with any hospitals?

According to CMS data, Dawn Anderson is affiliated with Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Dawn Anderson was last updated on April 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.