Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Andrey Layer , MD

Surgery โ€ข Framingham, MA

Active NPI 1366540486 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

945 Concord St
Framingham, MA 017014613

Call 3058667123 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

945 Concord St

Framingham, MA 017014613

Telephone 3058667123
Organization at the Same NPPES Address or Phone
Best Healthcare, Llc Facility NPI 1306018205

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

NPPES lists 1 additional practice-address record in Haverhill, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Vohra Post Acute Care Physicians Of The Northeast Pa. 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

1996

Medicare patients

433 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 $304,997 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 $242,407 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.

30-day fills

309 standardized 30-day fills in 2016

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$6,959 in 2016

The total cost of these prescriptions in 2016, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2016.

Open Payments general payments, program year 2025

All general payments: $49.73 across 2 records.

By nature of payment

  • Food and Beverage: $49.73 across 2 records.

Reporting-company totals

  • Organogenesis Inc.: $33.31 across 1 record.
  • Smith+Nephew, Inc.: $16.42 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

30 years (graduated 1996)

CMS Doctors and Clinicians data list 1996 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. Layer 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. Layer 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 Framingham and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Surgery in Massachusetts (2024, 438 clinicians with data). Median for this group: 221. Middle half: 112 to 421.

Too few clinicians listed under Surgery in Framingham have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Surgery in Massachusetts (2024, 438 clinicians with data). Median for this group: $32,226. Middle half: $14,398 to $58,427.

Too few clinicians listed under Surgery in Framingham have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Surgery in Massachusetts (2024, 438 clinicians with data). Median for this group: $24,707. Middle half: $10,899 to $44,507.

Too few clinicians listed under Surgery in Framingham have Medicare Part B data for 2024 to compare.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Layer are from 2016.

11 active clinicians are listed under Surgery with a practice address in Framingham, MA (1,003 in Massachusetts).

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

Telehealth indicator in Framingham

18.2% of these 11 clinicians have the CMS telehealth indicator.

72.7% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2016), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $49.73.

Manufacturer Payment Nature Product Type Amount ($)
Organogenesis Inc.
Food and Beverage
In-kind items and services
APLIGRAF General $33.31
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
GRAFIX PL General $16.42

Source: CMS Open Payments, program year 2025, released June 30, 2026.

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
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
419 133 $174.94 $81.46
11042 Removal of skin and tissue, 20.0 sq cm or less
319 111 $348.22 $56.33
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
282 102 $252.10 $117.30
11042 Removal of skin and tissue, 20.0 sq cm or less
267 82 $336.90 $130.06
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
257 68 $585.05 $164.24
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
253 116 $174.94 $81.20
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
172 51 $574.74 $258.30
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
141 75 $94.54 $44.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
141 79 $252.10 $117.97
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
91 91 $308.50 $144.98
97597 Removal of tissue from wound, 20.0 sq cm or less
80 23 $264.42 $112.81
17250 Application of chemical to stop tissue regrowth in wound
79 21 $233.74 $27.57
17250 Application of chemical to stop tissue regrowth in wound
79 23 $230.66 $87.61
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
46 46 $308.50 $144.97
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
39 33 $94.54 $44.26
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less
32 16 $177.51 $57.96
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
31 20 $250.00 $71.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
27 16 $200.00 $37.91
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
22 16 $357.52 $166.52
99306 Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
17 17 $419.38 $199.67
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
13 13 $185.40 $87.53
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
12 12 $185.40 $87.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $350.00 $87.85

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.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2016.

CMS Part D ยท Data Year 2016
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Tamsulosin Hcl Tamsulosin Hcl 74 6,000 $2,529.43 25
Finasteride Finasteride 20 1,800 $403.31 โ€”
Doxazosin Mesylate Doxazosin Mesylate 17 1,140 $639.46 โ€”
Myrbetriq Mirabegron 11 308 $3,387.22 โ€”

Source: CMS Part D by Provider and Drug, 2016; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-22
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES MA 229029

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Preventive Medicine - Undersea and Hyperbaric Medicine

NUCC Taxonomy Code: 2083P0011X

License # reported to NPPES MA 229029

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Urology

NUCC Taxonomy Code: 208800000X

License # reported to NPPES MA 229029

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20170316001338

Enrollment State Jurisdiction

NH

PECOS Control ID

8628372679

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

Vohra Post Acute Care Physicians Of The Northeast Pa

945 Concord St, Framingham, MA 017014613

Phone: 8778667123

Secondary Practice Locations

140 Lincoln Ave Fl 3

Haverhill, MA 018306700

Phone: 9784201405

Clinicians Sharing This Practice Address or Phone

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

6 listed
NPI 1528488699

Doctor of Medicine (M.D.)

Dr. Shane Epps , DO

Internal Medicine

NPI 1902157779

Doctor of Osteopathic Medicine (D.O.)

NPI 1720738354

Doctor of Medicine (M.D.)

NPI 1578719837

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Huan Ngo , MD

Family Medicine

NPI 1619913175

Doctor of Medicine (M.D.)

Dr. Gail Salganick-Erfani , MD

Colon & Rectal Surgery

NPI 1912976622

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2025

Preventive Medicine (license number reported to NPPES: MA 229029)

๐Ÿ“
Updated Practice Location April 22, 2024

Registered at 945 CONCORD ST, FRAMINGHAM, MA 017014613 (Tel: 3058667123)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2024

Surgery (license number reported to NPPES: MA 229029)

๐Ÿ“
Updated Business Mailing Address November 05, 2021

Registered at 26 SULLIVAN AVE, NEWTON, MA 024641115 (Tel: 8563138040)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2021

Urology (license number reported to NPPES: MA 229029)

โœ…
NPI Profile Active October 30, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location October 30, 2017

Registered at 246 MAPLE ST, MARLBOROUGH, MA 017523235 (Tel: 6176366317)

๐Ÿ“
Updated Business Mailing Address October 30, 2017

Registered at 10 THADDEUS MASON RD, NORTHBOROUGH, MA 015322284 (Tel: 6172097823)

๐Ÿ‘ค
Provider Name / Credentials Updated October 30, 2017

Recorded as ANDREY LAYER, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2017

Surgery (license number reported to NPPES: MA 229029)

โœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 08, 2007

Registered at 750 WASHINGTON ST, TUFTS -NEMC # 142, BOSTON, MA 021111526 (Tel: 6176366317)

๐Ÿ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 12 COTTAGE CT APT 2, NEWTON, MA 024581247

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as ANDREY LAYER, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (license number reported to NPPES: MA 229029)

๐ŸŸข
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366540486
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: September 22, 2025
Sole Proprietor: No

Other Surgery Specialists in Framingham

All Surgery Specialists in Framingham

Mailing Address

26 Sullivan Ave

Newton, MA 024641115

Phone: 8563138040

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.