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DR. APRIL K KAVANAGH M.D.
NPI 1992168132
Family Medicine in Waltham, MA

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
52 SECOND AVE STE 400, WALTHAM, MA 02451(781) 487-4350(781) 487-4351 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2024, Aug 2, 2024, Aug 7, 2019 (3 updates tracked since 2019).

About Dr. April K Kavanagh M.d. NPPES

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

DR. APRIL K KAVANAGH M.D. (NPI 1992168132) is an individual family medicine provider in Waltham, Massachusetts, licensed in Massachusetts (283057) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2016).

NPPES Registry Identity

NPI1992168132
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. APRIL K KAVANAGHCredential: M.D.
Location Address52 SECOND AVE STE 400Waltham, MA 02451-1137
Mailing Address52 Second Ave Ste 400Waltham, MA 02451-1137 · (781) 487-4350 · Fax (781) 487-4351
Phone(781) 487-4350
Fax(781) 487-4351
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1992168132 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 · 283057
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.
52 SECOND AVE STE 400, Waltham, MA 02451
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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

Dr. April K Kavanagh 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 ID3072801067
PECOS Enrollment IDI20200701002249
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.
241 services134 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.
87 services67 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.
83 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.
72 services72 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
35 services35 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.
21 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02451 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 2

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

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers19 claims5,362 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$23.74 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.

MONICA MANANDHAR MD
Internal Medicine
52 SECOND AVE STE 400
WALTHAM, MA 02451
Middlesex County (781) 487-4350
MEGHAN LYNN GUIDOBONI BSN, RN
Registered Nurse (Pediatrics)
52 SECOND AVE STE 400
WALTHAM, MA 02451
Middlesex County (781) 487-4340

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 April Kavanagh's NPI number?

The NPI number for April Kavanagh is 1992168132. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is April Kavanagh located?

April Kavanagh practices at 52 Second Ave Ste 400, Waltham, MA 02451. The listed phone number is (781) 487-4350.

What is April Kavanagh's specialty?

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

Is April Kavanagh enrolled in Medicare?

Yes. April Kavanagh 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 April Kavanagh accept?

Health plans from Anthem Blue Cross and Blue Shield list April Kavanagh 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 April Kavanagh affiliated with any hospitals?

According to CMS data, April Kavanagh is affiliated with Mount Auburn Hospital, North Shore Medical Center -, Massachusetts General Hospital, Newton-Wellesley Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for April Kavanagh was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.