Brian P Houle , ACNP
Nurse Practitioner • Leominster, MA
60 Hospital Rd
Leominster, MA 014532205
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on February 6, 2018; this date does not establish years in practice.
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Published CMS data list 87 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99291 — Critical care: 47 service units.
- 99292 — Critical care: 40 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Leominster, MA (2024, 12 clinicians with data). Median for this group: 493. Middle half: 158 to 981.
Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,529 clinicians with data). Median for this group: 293. Middle half: 113 to 624.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 101 in 2020 to 87 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
60 Hospital Rd
Leominster, MA 014532205
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Burlington, MA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Lahey Clinic Inc; Mass Lung And Allergy Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
2016
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
54 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $11,993 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 – by Provider and Service, 2024.
Paid by Medicare
About $9,555 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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 – by Provider and Service, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
Years since graduation
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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, CMS release of October 2, 2026.
NPI first issued
2018
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”
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, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Brian Houle 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.
Can order Medicare-covered services
CMS lists Brian Houle 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Leominster and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Leominster, MA (2024, 12 clinicians with data). Median for this group: 493. Middle half: 158 to 981.
Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,529 clinicians with data). Median for this group: 293. Middle half: 113 to 624.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Leominster, MA (2024, 12 clinicians with data). Median for this group: $31,028. Middle half: $11,046 to $57,102.
A lower Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,529 clinicians with data). Median for this group: $24,264. Middle half: $9,471 to $49,455.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in Leominster, MA (2024, 12 clinicians with data). Median for this group: $21,059. Middle half: $8,621 to $40,137.
A lower Medicare payment amount than 65% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,529 clinicians with data). Median for this group: $18,322. Middle half: $7,073 to $37,176.
28 active clinicians are listed under Nurse Practitioner with a practice address in Leominster, MA (3,509 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Leominster
3.6% of these 28 clinicians have the CMS telehealth indicator.
42.9% of these 28 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 14% from 101 in 2020 to 87 in 2024.
- 2020: 101
- 2021: 125
- 2022: 91
- 2023: 55
- 2024: 87
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Medicare-allowed amount
Medicare-allowed amount decreased 10% from $13,335 in 2020 to $11,993 in 2024.
- 2020: $13,335
- 2021: $18,483
- 2022: $12,369
- 2023: $8,035
- 2024: $11,993
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Paid by Medicare
Paid by Medicare decreased 10% from $10,663 in 2020 to $9,555 in 2024.
- 2020: $10,663
- 2021: $14,621
- 2022: $9,906
- 2023: $6,112
- 2024: $9,555
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017–2023 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 – by Provider and Service data, 2018–2024; 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 |
|---|---|---|---|---|
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99291
Critical care, first 30-74 minutes
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47 | 47 | $634.36 | $179.04 |
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99292
Critical care, each additional 30 minutes
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40 | 32 | $253.53 | $89.46 |
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
Self-certified to NPPES: 2022-05-09NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20180424001569
MA
5496018533
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, CMS release of October 2, 2026
Lahey Clinic Inc
29 Mall Rd, Burlington, MA 018050001
Lahey Clinic Inc
41 Highland Ave, Winchester, MA 018901446
Phone: 7817299000
Lahey Clinic Inc
41 Mall Rd, Burlington, MA 018050001
Lahey Clinic Inc
41 Mall Rd, Burlington, MA 018050001
Mass Lung And Allergy Pc
100 Hospital Rd, Leominster, MA 014532253
Phone: 9787986900
Secondary Practice Locations
41 Mall Rd
Burlington, MA 018052205
Phone: 7817448000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Pediatrics
Pediatric Nurse Practitioner
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Obstetrics & Gynecology - Hospice and Palliative Medicine
Doctor of Osteopathic Medicine (D.O.)
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Additional practice office at 41 Mall Rd, Burlington, MA 018052205
NPI status registered as active in NPPES database
Registered at 60 HOSPITAL RD, LEOMINSTER, MA 014532205 (Tel: 9784662000)
Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)
Recorded as BRIAN HOULE, ACNP
Nurse Practitioner (license number reported to NPPES: MA RN237625)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Leominster
- Kristal Imperio, NP
- Roxanne Britt, APRN, FNP-BC
- Elizabeth Terhune
- Michaela Haynes-Kaddy, CNP
- Pauline Mongo-Shei, NP
- Brittany Gauthier, APRN
Mailing Address
Po Box 415348
Boston, MA 022415348
Phone: 8002258885