Active NPI 1770568776 Individual Practitioner Male Practitioner

Dr. Paul D Biddinger , MD

Emergency Medicine • Boston, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Biddinger, MD is a certified Emergency Medicine practicing in Boston, MA. With approximately 28 years of clinical experience since graduating from Vanderbilt University School Of Medicine in 1998, Dr. Biddinger delivers high-quality medical care to the local community at 55 FRUIT ST.

Dr. Biddinger is affiliated with Massachusetts General Physicians Organization Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Fruit St
Wht 125d, Emergency Associates

Boston, MA 021142696

Telephone 6177243122

Fax 6177269202

Associated Practice Facility / Clinic

🏢 Massachusetts General Hospital Facility NPI 1184613721

Medicare Profile & Education

Medical School

Vanderbilt University School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Boston, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +12.6 yrs vs City Avg

City Avg: 15.4 Yrs

State Avg: 24.2 Yrs

Regional Practice Density

546 Specialists

Practicing in Boston, MA (1875 Statewide)

Telehealth Adoption Rate

1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Biddinger (28 Years) 28 Yrs

Boston Specialty Average (15.4 Years) 15.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	42	42	$721.52	$178.77
99284 Emergency department visit with moderate level of medical decision making	31	31	$497.06	$123.70
99291 Critical care, first 30-74 minutes	26	26	$884.00	$219.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$805.00	$180.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	52	51	$712.38	$183.19
99291 Critical care, first 30-74 minutes	33	33	$881.30	$224.69
93308 Ultrasound of heart, follow-up	27	27	$103.00	$26.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$805.00	$184.51
99284 Emergency department visit with moderate level of medical decision making	25	25	$491.88	$126.10
76604 Ultrasound scan of chest	12	12	$115.00	$28.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	81	80	$695.77	$186.84
99284 Emergency department visit with moderate level of medical decision making	45	45	$477.16	$129.21
99291 Critical care, first 30-74 minutes	32	32	$875.50	$232.25
99220 Hospital observation care, typically 70 minutes	27	27	$748.00	$190.79
99283 Emergency department visit with low level of medical decision making	20	20	$366.00	$76.42
99217 Hospital observation care on day of discharge	19	19	$291.42	$76.98
93308 Ultrasound of heart, follow-up	19	19	$100.47	$27.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	83	83	$693.61	$190.53
99291 Critical care, first 30-74 minutes	47	47	$885.72	$236.37
99284 Emergency department visit with moderate level of medical decision making	38	38	$478.29	$130.89
99220 Hospital observation care, typically 70 minutes	23	23	$753.00	$196.42
99283 Emergency department visit with low level of medical decision making	19	19	$299.68	$77.12
93308 Ultrasound of heart, follow-up	15	15	$103.00	$27.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	65	64	$685.32	$186.16
99291 Critical care, first 30-74 minutes	31	31	$890.42	$241.33
99284 Emergency department visit with moderate level of medical decision making	28	28	$470.43	$128.59
93308 Ultrasound of heart, follow-up	22	22	$103.55	$28.18
99220 Hospital observation care, typically 70 minutes	14	14	$745.29	$201.77
99283 Emergency department visit with low level of medical decision making	13	13	$247.46	$69.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	66	65	$672.15	$183.37
99284 Emergency department visit with moderate level of medical decision making	56	56	$457.04	$122.99
99291 Critical care, first 30-74 minutes	49	49	$874.71	$237.64
99283 Emergency department visit with low level of medical decision making	30	30	$241.60	$65.84
99220 Hospital observation care, typically 70 minutes	26	25	$733.73	$194.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	80	79	$650.75	$183.15
99284 Emergency department visit with moderate level of medical decision making	67	67	$441.67	$124.56
99283 Emergency department visit with low level of medical decision making	47	47	$229.81	$65.74
99291 Critical care, first 30-74 minutes	44	44	$852.91	$238.28
99220 Hospital observation care, typically 70 minutes	33	33	$711.33	$200.75
99219 Hospital observation care, typically 50 minutes	12	12	$520.42	$147.29
93308 Ultrasound of heart, follow-up	11	11	$100.55	$27.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	87	87	$431.91	$121.45
99283 Emergency department visit with low level of medical decision making	67	67	$227.00	$64.12
99285 Emergency department visit for life threatening or functioning severity	63	63	$637.33	$178.93
99220 Hospital observation care, typically 70 minutes	61	61	$697.67	$196.01
99291 Critical care, first 30-74 minutes	41	41	$912.76	$233.58
99219 Hospital observation care, typically 50 minutes	15	15	$511.80	$143.40
99282 Emergency department visit with straightforward medical decision making	15	15	$152.00	$42.91
93308 Ultrasound of heart, follow-up	14	14	$97.64	$27.22

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License MA 208483

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0147940 (MA)

Commercial Insurance / Payer ID Bcbs Ma

J24807 (MA)

Commercial Insurance / Payer ID Tufts Health Plan

208483 (MA)

Hospital & Practice Group Affiliations

Massachusetts General Physicians Organization Inc

55 Fruit St, Boston, MA 021142696

Phone: 6177240287

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Theodore Benzer , MD PHD

Internal Medicine

NPI 1679563860

MDPHD

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 55 FRUIT ST, WHT 125D, EMERGENCY ASSOCIATES, BOSTON, MA 021142696 (Tel: 6177243122)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 9142, CHARLESTOWN, MA 021299142 (Tel: 6177240287)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL BIDDINGER, MD

🎓

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

Emergency Medicine (License #208483 in MA)

🟢

Initial NPI Registration & Enumeration December 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770568776

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 13, 2005

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9142

Charlestown, MA 021299142

Phone: 6177240287

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.