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DR. JONATHON S SILLMAN M.D.
NPI 1972550101
Otolaryngology in Worcester, MA

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
48 ELM ST, WORCESTER, MA 01609(508) 757-0330 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathon S Sillman M.d. NPPES

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

DR. JONATHON S SILLMAN M.D. (NPI 1972550101) is an individual otolaryngology provider in Worcester, Massachusetts, licensed in Massachusetts (79282) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and maintains a secondary practice location in North Dartmouth.

NPPES Registry Identity

NPI1972550101
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JONATHON S SILLMANCredential: M.D.
Location Address48 ELM STWorcester, MA 01609-2541
Mailing Address48 Elm StWorcester, MA 01609-2541 · (508) 757-0330
Phone(508) 757-0330
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1985
Enumeration DateMay 31, 2006
Last NPPES UpdateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1972550101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MA · 79282
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.
48 ELM ST, Worcester, MA 01609
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Secondary Practice Location 1

Location 1299 Faunce Corner RdNorth Dartmouth, MA 02747-6244 · Phone (508) 995-0700 · Fax (508) 973-1355

Other Identifiers 1

Medicaid0010252MA

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. Jonathon S Sillman 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 ID345213286
PECOS Enrollment IDI20050413000566
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.

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.
333 services252 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.
267 services196 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.
109 services90 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.
77 services77 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.
57 services50 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.
31 services31 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

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

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01609 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 20

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

GIANNA LEIGH FERNANDEZ
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (508) 328-9819
JENNIFER PERRITT
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (774) 352-5620
JOSALYNN CEDILLO
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (774) 352-5620
COMMONWEALTH PERIODONTICS
Dentist (Periodontics)
48 ELM ST
WORCESTER, MA 01609
Worcester County (150) 875-4122
DONOVAN M SMITH
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (508) 225-6634
DESIREE VENNERT
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Worcester County (508) 938-6687
SONIA RIBEIRO
Behavior Analyst
48 ELM ST
WORCESTER, MA 01609
Worcester County (413) 331-6600
FELICIA ANNE EWING BCBA
Behavior Analyst
48 ELM ST
WORCESTER, MA 01609
Worcester County (800) 337-5965

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 Jonathon Sillman's NPI number?

The NPI number for Jonathon Sillman is 1972550101. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Jonathon Sillman located?

Jonathon Sillman practices at 48 Elm St, Worcester, MA 01609. The listed phone number is (508) 757-0330.

What is Jonathon Sillman's specialty?

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

Is Jonathon Sillman enrolled in Medicare?

Yes. Jonathon Sillman 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 Jonathon Sillman accept?

Health plans from Anthem Blue Cross and Blue Shield list Jonathon Sillman 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 Jonathon Sillman affiliated with any hospitals?

According to CMS data, Jonathon Sillman is affiliated with Melrosewakefield Healthcare, Tufts Medical Center and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Jonathon Sillman was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.