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YUAN YAO M.D.
NPI 1992151179
Family Medicine in Malden, MA

Active since May 06, 2016PECOS EnrolledAccepts Medicare Assignment
578 MAIN ST, MALDEN, MA 02148(781) 321-3422(781) 321-1863 Get Directions Write a Review

NPPES record last updated: February 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 20, 2021, Jul 11, 2019 (2 updates tracked since 2019).

About Yuan Yao M.d. NPPES

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

YUAN YAO M.D. (NPI 1992151179) is an individual family medicine provider in Malden, Massachusetts, licensed in Massachusetts (278583) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and is a graduate of Tufts University School Of Medicine (2016).

NPPES Registry Identity

NPI1992151179
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameYUAN YAOCredential: M.D.
Location Address578 MAIN STMalden, MA 02148-3900
Mailing Address578 Main StMalden, MA 02148-3900 · (781) 321-3422 · Fax (781) 321-1863
Phone(781) 321-3422
Fax(781) 321-1863
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2016
Enumeration DateMay 6, 2016
Last NPPES UpdateFebruary 20, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2021
✔ NPI 1992151179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 278583
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

578 MAIN ST, Malden, MA 02148
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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

Yuan Yao 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 ID5890048797
PECOS Enrollment IDI20190912001989
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 8

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.
127 services67 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
88 services62 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
27 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services25 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02148 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims33 services$5.41 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 16

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

CHRISTOPHER WALTON
Hearing Instrument Specialist
578 MAIN ST, SUITE 101
MALDEN, MA 02148
Middlesex County (781) 324-1771
HELENA NAOMI PHAM CNP
Nurse Practitioner
578 MAIN ST
MALDEN, MA 02148
Middlesex County (781) 620-4832
DR. STEWART DANA SHERNAN DMD, BS
Dentist
578 MAIN ST
MALDEN, MA 02148
Middlesex County (781) 324-6100
JENNIFER R. LIN D.O.
Family Medicine
578 MAIN ST
MALDEN, MA 02148
Middlesex County (781) 321-3422
DR. JESSICA PERPETUO JORGE DMD
Dentist
578 MAIN ST
MALDEN, MA 02148
Middlesex County (781) 324-6100
CARMEN ANTONELLIS
Nurse Practitioner
578 MAIN ST
MALDEN, MA 02148
Middlesex County (781) 321-3422
PANSY SIU-LAI MD
Family Medicine
578 MAIN ST, HALLMARK HEALTH MEDICAL ASSOCIATES INC
MALDEN, MA 02148
Middlesex County (781) 321-3422
ANDALUNA DENTAL
Clinic/Center (Dental)
578 MAIN ST
MALDEN, MA 02148
Middlesex County (781) 324-6100

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 Yuan Yao's NPI number?

The NPI number for Yuan Yao is 1992151179. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Where is Yuan Yao located?

Yuan Yao practices at 578 Main St, Malden, MA 02148. The listed phone number is (781) 321-3422.

What is Yuan Yao's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Yuan Yao enrolled in Medicare?

Yes. Yuan Yao 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 Yuan Yao accept?

Health plans from Anthem Blue Cross and Blue Shield list Yuan Yao 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 Yuan Yao affiliated with any hospitals?

According to CMS data, Yuan Yao is affiliated with Melrosewakefield Healthcare and Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Yuan Yao was last updated on February 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.