Active NPI 1104809425 Individual Practitioner Male Practitioner

Dr. James C Cusack , MD

Surgery • Boston, MA

Professional Overview & Biography Verified Profile Summary

Dr. James Cusack, MD is a registered healthcare professional specializing in Surgery in Boston, MA. Practice services are available at 55 FRUIT ST under active NPI credentials.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. 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
Yaw 7b

Boston, MA 02114

Telephone 6177244043

Fax 6177243895

Associated Practice Facility / Clinic

🏢 Massachusetts General Hospital Facility NPI 1184613721

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Boston, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.9 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

454 Specialists

Practicing in Boston, MA (1077 Statewide)

Telehealth Adoption Rate

19.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	11	$206.00	$51.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$425.42	$101.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$755.00	$150.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$408.00	$122.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	102	25	$176.70	$52.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	71	$441.76	$102.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	45	$761.40	$152.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	24	$805.00	$184.42
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$274.36	$70.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$776.00	$181.69
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	16	$1265.00	$201.76
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	16	15	$390.00	$88.16
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	14	14	$1121.07	$137.87
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	11	$1200.50	$203.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	90	$446.76	$106.21
99213 Established patient office or other outpatient visit, typically 15 minutes	45	37	$268.27	$72.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	32	$747.97	$157.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	19	$159.20	$41.25
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	26	18	$338.00	$78.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$792.20	$212.64
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	18	18	$1168.00	$206.96
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	16	14	$390.00	$89.30
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	15	15	$1069.77	$138.96
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	14	$1220.00	$222.50
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	14	14	$1469.36	$301.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	105	$402.16	$108.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	52	$767.63	$160.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	15	$289.51	$77.74
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$219.73	$73.61
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	27	19	$366.89	$91.33
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	25	24	$1098.00	$168.16
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	22	22	$1202.00	$224.11
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	22	14	$310.18	$79.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	14	$160.00	$40.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$700.50	$187.56
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	16	15	$1084.75	$193.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$810.60	$216.68
38900 Lymph node imaging during surgery	15	15	$587.60	$149.14
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	12	11	$1604.67	$290.30
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1935.48	$466.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	67	$371.83	$85.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	43	$755.58	$122.27
99213 Established patient office or other outpatient visit, typically 15 minutes	33	28	$205.36	$56.25
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	23	13	$305.83	$81.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$811.58	$214.42
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	16	12	$352.75	$94.01
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	16	14	$1426.23	$251.55
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	14	$1056.13	$244.84
99443 Telephone medical discussion with physician, 21-30 minutes	14	13	$165.07	$86.38
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	13	13	$1051.04	$123.38
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	12	12	$1202.00	$221.77
49205 Removal or destruction of (greater than 10.0 centimeters) abdominal cavity growths, cysts, or abnormal tissue, open procedure	11	11	$8091.36	$1865.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$670.00	$182.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	93	$373.17	$84.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	59	$730.58	$118.23
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	41	23	$300.02	$82.17
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$204.15	$54.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	15	$154.12	$42.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$660.33	$180.12
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	24	23	$1042.88	$177.29
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	19	18	$1604.45	$318.83
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	17	16	$1033.88	$165.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	14	$287.12	$78.10
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	17	13	$345.00	$94.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$800.80	$217.16
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	14	$1202.00	$244.38
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$2052.17	$462.83
49205 Removal or destruction of (greater than 10.0 centimeters) abdominal cavity growths, cysts, or abnormal tissue, open procedure	11	11	$7580.27	$1737.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	81	$357.50	$84.67
99213 Established patient office or other outpatient visit, typically 15 minutes	55	44	$199.85	$54.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	45	$716.84	$119.64
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	25	18	$334.60	$95.12
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	20	19	$1202.00	$231.61
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	19	14	$289.74	$82.50
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	18	$969.79	$132.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$645.88	$180.72
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	16	15	$1040.13	$213.46
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	12	12	$1534.08	$298.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	96	$344.37	$82.98
99213 Established patient office or other outpatient visit, typically 15 minutes	52	42	$186.08	$53.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	41	$696.55	$117.26
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	24	23	$1202.00	$255.50
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	24	22	$325.33	$92.32
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	23	$762.16	$106.98
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	20	14	$281.20	$80.06
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	14	$1040.00	$204.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$763.25	$213.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$633.55	$176.61

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 74063

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0117781 (MA)

Commercial Insurance / Payer ID Bcbs Ma

J11385 (MA)

Commercial Insurance / Payer ID Tufts Health Plan

074063 (MA)

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Kenneth Tanabe , MD

Surgery

NPI 1164413613

Doctor of Medicine (M.D.)

Lanetta Giacona , NP

Nurse Practitioner - Adult Health

NPI 1295976298

Nurse Practitioner

Dr. Gillian Lee , MD, MPH

Preventive Medicine - Public Health & General Preventive Medicine

NPI 1356964977

Doctor of Medicine (M.D.), Master of Public Health

Dr. Antonia Stephen , MD

Surgery

NPI 1386626679

Doctor of Medicine (M.D.)

Ann Mcmahon , NP

Nurse Practitioner

NPI 1730343187

Nurse Practitioner

Michele Gadd

Specialist

NPI 1932178076

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, YAW 7B, BOSTON, MA 02114 (Tel: 6177244043)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 021299142 (Tel: 6177240287)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES CUSACK, MD

🎓

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

Surgery (License #74063 in MA)

🟢

Initial NPI Registration & Enumeration November 21, 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: 1104809425

Entity Type:

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

Enumeration Date: November 21, 2005

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9142, Mass General Physician Organization

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.