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MARIE-HELENE ALMONOR M.D.
NPI 1972661064
Internal Medicine in Scituate, MA

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
309 DRIFTWAY, SCITUATE, MA 02066(781) 545-1370 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marie-helene Almonor M.d. NPPES

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

MARIE-HELENE ALMONOR M.D. (NPI 1972661064) is an individual internal medicine provider in Scituate, Massachusetts, licensed in Minnesota (36771) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1972661064
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARIE-HELENE ALMONORCredential: M.D.
Location Address309 DRIFTWAYScituate, MA 02066-1905
Mailing Address819 Worcester St, Ste 3Springfield, MA 01151-1045 · (413) 543-6820 · Fax (413) 543-7962
Phone(781) 545-1370
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateDecember 4, 2006
Last NPPES UpdateMarch 12, 2015
✔ NPI 1972661064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 36771
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
309 DRIFTWAY, Scituate, MA 02066
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Other Identifiers 4

Medicare PINS400154799MA
Medicare UPINF20427MN
Medicaid110099008AMA
Medicare PINS400154800MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.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

Marie-helene Almonor 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 ID6103832365
PECOS Enrollment IDI20140523000566
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 6

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
164 services67 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
81 services52 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
81 services57 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
73 services64 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
56 services38 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02066 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
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers20 claims21 services$7.97 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier26 claims26 services$36.47 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
2 suppliers14 claims19 services$1.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SOUTH SHORE MEDICAL INVESTORS, LLC
Skilled Nursing Facility
309 DRIFTWAY
SCITUATE, MA 02066
Plymouth County (781) 545-1370
LIFE CARE CENTERS OF AMERICA, INC.
Skilled Nursing Facility
309 DRIFTWAY
SCITUATE, MA 02066
Plymouth County (781) 545-1370

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 Marie-helene Almonor's NPI number?

The NPI number for Marie-helene Almonor is 1972661064. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Marie-helene Almonor located?

Marie-helene Almonor practices at 309 Driftway, Scituate, MA 02066. The listed phone number is (781) 545-1370.

What is Marie-helene Almonor's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marie-helene Almonor enrolled in Medicare?

Yes. Marie-helene Almonor 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 Marie-helene Almonor accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Marie-helene Almonor 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 Marie-helene Almonor affiliated with any hospitals?

According to CMS data, Marie-helene Almonor is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Marie-helene Almonor was last updated on March 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.