Active NPI 1124092853 Individual Practitioner Male Practitioner

Dr. Francis James Mcgovern , MD

Urology • Boston, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Francis Mcgovern, MD is a certified Urology practicing in Boston, MA. With approximately 43 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1983, Dr. Mcgovern delivers high-quality medical care to the local community at 1 HAWTHORNE PL.

Dr. Mcgovern is affiliated with Althausen Mcgovern Assoc Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include urinalysis, manual test, established patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Hawthorne Pl
Suite 109

Boston, MA 021142333

Telephone 6175575422

Fax 6175238974

Associated Practice Facility / Clinic

🏢 Sang-Gil Lee, Md Pc Facility NPI 1518955160

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Boston, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +21.1 yrs vs City Avg

City Avg: 21.9 Yrs

State Avg: 29.9 Yrs

Regional Practice Density

117 Specialists

Practicing in Boston, MA (396 Statewide)

Telehealth Adoption Rate

48.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

76.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcgovern (43 Years) 43 Yrs

Boston Specialty Average (21.9 Years) 21.9 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
81002 Urinalysis, manual test	798	572	$10.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	767	624	$260.00	$98.49
52000 Diagnostic exam of bladder and urethra using an endoscope	439	322	$650.00	$271.01
51798 Ultrasound measurement of bladder capacity after voiding	125	113	$50.00	$13.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$450.00	$179.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	68	$300.00	$137.91
51720 Instillation of anti-cancer drug into bladder	71	23	$350.00	$98.57
55700 Biopsy of prostate gland	39	38	$600.00	$141.88
76872 Ultrasound scan of pelvic region through rectum	38	37	$940.00	$37.07
74420 Imaging of urinary tract	32	19	$104.00	$25.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	30	17	$966.67	$189.49
55840 Removal of prostate gland	24	24	$5500.00	$1225.05
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	21	19	$1425.00	$254.55
55845 Removal of prostate gland and surrounding lymph nodes on both sides of the pelvis through abdominal incision	15	15	$5500.00	$1378.00
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	14	14	$1750.00	$298.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$350.00	$120.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	646	519	$260.00	$99.28
81002 Urinalysis, manual test	606	432	$10.00	$3.41
52000 Diagnostic exam of bladder and urethra using an endoscope	445	320	$650.00	$278.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$450.00	$179.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	54	$300.00	$138.40
51798 Ultrasound measurement of bladder capacity after voiding	52	48	$50.00	$12.70
55840 Removal of prostate gland	29	29	$5689.66	$1174.50
51720 Instillation of anti-cancer drug into bladder	28	12	$350.00	$99.12
74420 Imaging of urinary tract	25	17	$104.00	$25.90
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	16	$845.83	$177.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$350.00	$123.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$150.00	$63.06
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	11	11	$1425.00	$248.76
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	11	11	$1425.00	$257.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	997	680	$10.00	$3.44
99213 Established patient office or other outpatient visit, typically 15 minutes	541	472	$260.00	$101.52
52000 Diagnostic exam of bladder and urethra using an endoscope	458	314	$650.00	$289.77
51720 Instillation of anti-cancer drug into bladder	104	20	$350.00	$100.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	69	$300.00	$142.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$450.00	$185.20
51798 Ultrasound measurement of bladder capacity after voiding	68	66	$50.00	$12.67
99442 Telephone medical discussion with physician, 11-20 minutes	58	56	$150.00	$101.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$350.00	$125.57
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	16	$761.46	$181.74
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	16	16	$1425.00	$247.66
55840 Removal of prostate gland	15	15	$5458.33	$1148.96
55845 Removal of prostate gland and surrounding lymph nodes on both sides of the pelvis through abdominal incision	14	14	$6214.29	$1460.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	1,340	900	$10.00	$3.48
99213 Established patient office or other outpatient visit, typically 15 minutes	700	576	$260.00	$102.40
52000 Diagnostic exam of bladder and urethra using an endoscope	468	327	$650.00	$278.41
51720 Instillation of anti-cancer drug into bladder	144	20	$350.00	$101.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$443.50	$187.56
51798 Ultrasound measurement of bladder capacity after voiding	85	80	$50.00	$12.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	78	$300.00	$144.36
99442 Telephone medical discussion with physician, 11-20 minutes	77	73	$150.00	$103.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$350.00	$121.53
55840 Removal of prostate gland	36	36	$5111.11	$1241.36
52332 Insertion of stent in urinary duct (ureter) using an endoscope	35	19	$793.57	$188.55
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	29	25	$1425.00	$260.93
55842 Removal of prostate gland and lymph node biopsy through abdominal incision	15	15	$5500.00	$1285.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	4,200	16	$3.14	$2.79
81002 Urinalysis, manual test	1,111	700	$10.00	$3.46
99213 Established patient office or other outpatient visit, typically 15 minutes	717	587	$260.00	$84.30
52000 Diagnostic exam of bladder and urethra using an endoscope	434	288	$650.00	$245.57
51720 Instillation of anti-cancer drug into bladder	166	27	$350.00	$96.20
99442 Telephone medical discussion with physician, 11-20 minutes	113	106	$150.00	$84.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$400.00	$183.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$350.00	$120.97
51798 Ultrasound measurement of bladder capacity after voiding	58	48	$50.00	$12.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	53	$300.00	$120.45
52332 Insertion of stent in urinary duct (ureter) using an endoscope	38	23	$786.84	$192.92
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	24	22	$1395.83	$269.38
55842 Removal of prostate gland and lymph node biopsy through abdominal incision	13	13	$5500.00	$1307.73
55840 Removal of prostate gland	12	12	$5041.67	$1145.89
52281 Dilation of bladder canal (urethra) using an endoscope	12	11	$800.00	$375.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	1,635	1,047	$10.00	$3.41
J9030 Bcg live intravesical instillation, 1 mg	1,625	15	$3.14	$2.78
99213 Established patient office or other outpatient visit, typically 15 minutes	811	687	$260.00	$82.02
52000 Diagnostic exam of bladder and urethra using an endoscope	480	305	$650.00	$216.62
51720 Instillation of anti-cancer drug into bladder	214	30	$350.00	$95.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$400.00	$177.47
J9031 Bcg (intravesical) per instillation	71	17	$122.78	$111.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	58	$300.00	$118.51
51798 Ultrasound measurement of bladder capacity after voiding	55	52	$50.00	$15.03
52332 Insertion of stent in urinary duct (ureter) using an endoscope	53	28	$790.09	$196.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$350.00	$118.75
55840 Removal of prostate gland	26	26	$5000.00	$1222.48
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	20	19	$1425.00	$271.63
55700 Biopsy of prostate gland	17	17	$600.00	$143.91
55842 Removal of prostate gland and lymph node biopsy through abdominal incision	15	15	$5500.00	$1239.16
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	11	11	$1750.00	$318.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	1,549	1,021	$10.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	803	668	$260.00	$78.41
52000 Diagnostic exam of bladder and urethra using an endoscope	455	308	$650.00	$182.95
51720 Instillation of anti-cancer drug into bladder	172	28	$350.00	$92.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	114	114	$375.00	$171.71
J9031 Bcg (intravesical) per instillation	79	15	$154.52	$133.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$315.00	$114.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	51	$300.00	$115.49
52332 Insertion of stent in urinary duct (ureter) using an endoscope	44	22	$836.36	$179.46
55700 Biopsy of prostate gland	35	35	$600.00	$140.38
51798 Ultrasound measurement of bladder capacity after voiding	33	30	$50.00	$18.23
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	20	17	$1425.00	$265.23
55840 Removal of prostate gland	19	19	$5131.58	$1191.06
55842 Removal of prostate gland and lymph node biopsy through abdominal incision	16	16	$5500.00	$1263.11
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	15	13	$1750.00	$310.47
51702 Simple insertion of temporary bladder tube	13	11	$329.00	$71.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	1,308	903	$10.00	$3.43
99213 Established patient office or other outpatient visit, typically 15 minutes	685	575	$260.00	$74.45
52000 Diagnostic exam of bladder and urethra using an endoscope	443	293	$650.00	$171.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$375.00	$165.06
51720 Instillation of anti-cancer drug into bladder	78	15	$350.00	$87.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	66	$300.00	$108.94
55700 Biopsy of prostate gland	37	37	$600.00	$131.74
52332 Insertion of stent in urinary duct (ureter) using an endoscope	37	20	$872.30	$169.07
51798 Ultrasound measurement of bladder capacity after voiding	37	36	$50.00	$21.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$315.00	$109.79
55840 Removal of prostate gland	23	23	$5000.00	$1130.00
55842 Removal of prostate gland and lymph node biopsy through abdominal incision	14	14	$5500.00	$1180.72

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MA 55277

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3037738 (MA)

Commercial Insurance / Payer ID Tufts

055277 (MA)

Commercial Insurance / Payer ID Network Health

99172902 (MA)

Commercial Insurance / Payer ID Medex

J07611 (MA)

Commercial Insurance / Payer ID Rr Medicare

C12913 (MA)

Commercial Insurance / Payer ID Nhp

0017462 (MA)

Commercial Insurance / Payer ID United Healthcare

000965250004 (MA)

Commercial Insurance / Payer ID Aetna

1020648 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim

27324MGH (MA)

Commercial Insurance / Payer ID Blue Shield

J07611 (MA)

Hospital & Practice Group Affiliations

Althausen Mcgovern Assoc Inc

1 Hawthorne Pl, Boston, MA 021142333

Phone: 6175232394

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Gary Perlmutter , MD

Orthopaedic Surgery

NPI 1063402204

Doctor of Medicine (M.D.)

Dr. David Brewster , MD

Surgery - Vascular Surgery

NPI 1114918034

Doctor of Medicine (M.D.)

Laura Sumner , APRN, BC

Nurse Practitioner - Adult Health

NPI 1386825552

Advanced Practice Registered Nurse, BC

Carolyn Tolman , NP

Nurse Practitioner - Adult Health

NPI 1437286903

Nurse Practitioner

Dr. Sang-Gil Lee , MD

Orthopaedic Surgery - Hand Surgery

NPI 1649270810

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 25, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 25, 2008

Registered at 1 HAWTHORNE PL, SUITE 109, BOSTON, MA 021142333 (Tel: 6175575422)

📍

Updated Business Mailing Address April 25, 2008

Registered at PO BOX 845185, BOSTON, MA 022845185 (Tel: 6175575422)

👤

Provider Name / Credentials Updated April 25, 2008

Recorded as FRANCIS MCGOVERN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2008

Urology (License #55277 in MA)

🟢

Initial NPI Registration & Enumeration February 17, 2006

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: 1124092853

Entity Type:

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

Enumeration Date: February 17, 2006

Last Update: April 25, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 845185

Boston, MA 022845185

Phone: 6175575422

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.