Dilan Ramirez , PA
Physician Assistant - Medical • Springfield, MA
271 Carew St
Springfield, MA 011042377
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Dilan Ramirez is listed in NPPES under Physician Assistant - Medical.
-
NPI assigned on September 4, 2008; this date does not establish years in practice.
-
Published CMS data list 21 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.
-
Published Part B service records, 2024:
- 99291 — Critical care: 21 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
-
Published CMS data list 141 Medicare Part D prescriptions, including refills, in 2019.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Published rows only; this is not a quality measure.
-
Published Part D records, 2019:
- Prednisone — 71 prescription fills, including refills.
- Cefuroxime (Cefuroxime Axetil) — 32 prescription fills, including refills.
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) — 21 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table · Guide: How to read Medicare Part D prescriber data
-
Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant - Medical in Springfield, MA (2024, 115 clinicians with data). Median for this group: 218. Middle half: 108 to 480.
Fewer Medicare Part B services than 90% of clinicians listed under Physician Assistant - Medical in Massachusetts (2024, 468 clinicians with data). Median for this group: 293. Middle half: 121 to 681.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 81 in 2020 to 21 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
271 Carew St
Springfield, MA 011042377
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Emergency Medicine Services Of Fl Llc; Holyoke Medical Center Inc. 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
2008
What Public CMS Data Show
Physician Assistant - Medical: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
26 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 $3,825 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 $2,926 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.
30-day fills
142 standardized 30-day fills in 2019
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
$1,902 in 2019
The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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 – by Provider and Drug, 2019.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
Years since graduation
18 years (graduated 2008)
CMS Doctors and Clinicians data list 2008 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
2008
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)
Dilan Ramirez 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 Dilan Ramirez 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 Springfield and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant - Medical in Springfield, MA (2024, 115 clinicians with data). Median for this group: 218. Middle half: 108 to 480.
Fewer Medicare Part B services than 90% of clinicians listed under Physician Assistant - Medical in Massachusetts (2024, 468 clinicians with data). Median for this group: 293. Middle half: 121 to 681.
Medicare-allowed amount
A lower Medicare-allowed amount than 90% of clinicians listed under Physician Assistant - Medical in Springfield, MA (2024, 115 clinicians with data). Median for this group: $21,735. Middle half: $9,094 to $41,743.
A lower Medicare-allowed amount than 85% of clinicians listed under Physician Assistant - Medical in Massachusetts (2024, 468 clinicians with data). Median for this group: $25,228. Middle half: $10,467 to $51,055.
Paid by Medicare
A lower Medicare payment amount than 90% of clinicians listed under Physician Assistant - Medical in Springfield, MA (2024, 115 clinicians with data). Median for this group: $16,862. Middle half: $6,622 to $31,000.
A lower Medicare payment amount than 85% of clinicians listed under Physician Assistant - Medical in Massachusetts (2024, 468 clinicians with data). Median for this group: $18,491. Middle half: $7,899 to $37,266.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dilan Ramirez are from 2019.
181 active clinicians are listed under Physician Assistant - Medical with a practice address in Springfield, MA (885 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Springfield
14.4% of these 181 clinicians have the CMS telehealth indicator.
70.2% of these 181 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.
-
Medicare Part B services
Medicare Part B services decreased 74% from 81 in 2020 to 21 in 2024.
- 2020: 81
- 2021: 53
- 2022: 93
- 2023: 74
- 2024: 21
-
Medicare-allowed amount
Medicare-allowed amount decreased 62% from $10,145 in 2020 to $3,825 in 2024.
- 2020: $10,145
- 2021: $6,540
- 2022: $11,690
- 2023: $9,187
- 2024: $3,825
-
Paid by Medicare
Paid by Medicare decreased 57% from $6,830 in 2020 to $2,926 in 2024.
- 2020: $6,830
- 2021: $5,232
- 2022: $9,367
- 2023: $7,296
- 2024: $2,926
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 513% from 23 in 2013 to 141 in 2019.
- 2013: 23
- 2016: 123
- 2017: 93
- 2018: 35
- 2019: 141
-
30-day fills
30-day fills increased 516% from 23 in 2013 to 142 in 2019.
- 2013: 23
- 2016: 123
- 2017: 93
- 2018: 36
- 2019: 142
-
Part D drug cost
Part D drug cost went from $122 in 2013 to $1,902 in 2019.
- 2013: $122
- 2016: $1,294
- 2017: $660
- 2018: $627
- 2019: $1,902
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2019), 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 2018–2023 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, 2019–2024; 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 |
|---|---|---|---|---|
|
99291
Critical care, first 30-74 minutes
|
21 | 20 | $579.10 | $182.12 |
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 2019.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 71 | 384 | $233.25 | 71 |
| Cefuroxime | Cefuroxime Axetil | 32 | 170 | $519.09 | 32 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 21 | 210 | $280.14 | 20 |
| Ventolin Hfa | Albuterol Sulfate | 17 | 357 | $869.71 | 14 |
Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363AM0700X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20091029000669
MA
4284771809
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
Holyoke Medical Center Inc
575 Beech St, Holyoke, MA 010402223
Emergency Medicine Services Of Fl Llc
700 Medical Blvd, Englewood, FL 342233964
Phone: 9417926611
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Medical
Physician Assistant (Certified)
Physician Assistant - Surgical
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated September 04, 2008.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.
NPI Administrative Meta
Other Physician Assistant - Medicals in Springfield
- Brianna Carey, PA
- Rachel Ricci, PA-C
- Erin Regan, PA-C
- Adam Velis, PA
- Kimberly Lookner, PA-C
- Lynn Larochelle, PA-C
Mailing Address
271 Carew St
Springfield, MA 011042377
Phone: 4137489321