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Dr. Michael J O'brien , MD

Pathology - Anatomic Pathology โ€ข Boston, MA

Active NPI 1700858438 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

670 Albany St, Floor 3, Room 310
Boston, MA 021182646

Call 6174145314 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

670 Albany St
Floor 3, Room 310

Boston, MA 021182646

Telephone 6174145314
Fax 6174145315
Organization at the Same NPPES Address or Phone
Boston University Mallory Pathology Associates, Inc. Facility NPI 1457308637

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: South Suburban Gastroenterology Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1971

Medicare patients

974 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $219,219 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $156,149 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

55 years (graduated 1971)

CMS Doctors and Clinicians data list 1971 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. O'Brien has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. O'Brien as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Boston and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Pathology - Anatomic Pathology in Boston, MA (2024, 103 clinicians with data). Median for this group: 990. Middle half: 408 to 1,957.

More Medicare Part B services than 80% of clinicians listed under Pathology - Anatomic Pathology in Massachusetts (2024, 157 clinicians with data). Median for this group: 1,346. Middle half: 629 to 2,282.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Pathology - Anatomic Pathology in Boston, MA (2024, 103 clinicians with data). Median for this group: $45,378. Middle half: $19,889 to $81,556.

A higher Medicare-allowed amount than 95% of clinicians listed under Pathology - Anatomic Pathology in Massachusetts (2024, 157 clinicians with data). Median for this group: $53,176. Middle half: $26,435 to $86,990.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Pathology - Anatomic Pathology in Boston, MA (2024, 103 clinicians with data). Median for this group: $36,407. Middle half: $15,855 to $64,357.

A higher Medicare payment amount than 95% of clinicians listed under Pathology - Anatomic Pathology in Massachusetts (2024, 157 clinicians with data). Median for this group: $41,704. Middle half: $20,703 to $68,820.

186 active clinicians are listed under Pathology - Anatomic Pathology with a practice address in Boston, MA (278 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boston

0.5% of these 186 clinicians have the CMS telehealth indicator.

58.6% of these 186 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity
2,387 974 $200.00 $80.15
88342 Special stained specimen slides to examine tissue, initial procedure
205 186 $500.00 $120.48
88341 Special stained specimen slides to examine tissue, each additional procedure
31 27 $300.00 $103.32

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Pathology - Anatomic Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0101X

License # reported to NPPES MA 40684

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
30204395 (NH)
Medicaid ID
6169813 (MA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PATHOLOGY

Medicare Enrollment ID

I20050407000271

Enrollment State Jurisdiction

MA

PECOS Control ID

6002705852

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

South Suburban Gastroenterology Pc

97 Libbey Pkwy, Weymouth, MA 021893110

Phone: 7813312922

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
Dr. Opoku Adjapong , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1962664896

Doctor of Medicine (M.D.)

Dr. Eric Burks , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1225000623

Doctor of Medicine (M.D.)

Dr. Sandra Cerda , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1306819719

Doctor of Medicine (M.D.)

Dr. Natalie Ciomek , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1174822738

Doctor of Medicine (M.D.)

Dr. Ivana Delalle , MD

Pathology - Anatomic Pathology

NPI 1609849918

Doctor of Medicine (M.D.)

Dr. Antonio De Las Morenas , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1184697492

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Business Mailing Address October 11, 2019

Registered at 1085 MAIN ST, SOUTH WEYMOUTH, MA 021901547

โœ…
NPI Profile Active June 04, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 04, 2014

Registered at 670 ALBANY ST, FLOOR 3, ROOM 310, BOSTON, MA 021182646 (Tel: 6174145314)

๐Ÿ“
Business Mailing Address (Initial Record) June 04, 2014

Registered at 720 HARRISON AVE, DOB 503, BOSTON, MA 02118

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 04, 2014

Recorded as MICHAEL O'BRIEN, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2014

Pathology (license number reported to NPPES: MA 40684)

๐ŸŸข
Initial NPI Registration & Enumeration February 06, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700858438
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2006
Last Update: October 11, 2019
Sole Proprietor: No

Other Pathology - Anatomic Pathology Specialists in Boston

All Pathology - Anatomic Pathology Specialists in Boston

Mailing Address

1085 Main St

South Weymouth, MA 021901547

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.