Active NPI 1366541732 Individual Practitioner Male Practitioner

Dr. John Francis Tilzey , MD

Orthopaedic Surgery • Burlington, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Tilzey, MD is a certified Orthopaedic Surgery practicing in Burlington, MA. With approximately 32 years of clinical experience since graduating from Boston University School Of Medicine in 1994, Dr. Tilzey delivers high-quality medical care to the local community at LAHEY CLINIC.

Dr. Tilzey is affiliated with Lahey Clinic Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

Lahey Clinic
41 Mall Road

Burlington, MA 018050001

Telephone 7817448886

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Burlington, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +9.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

9 Specialists

Practicing in Burlington, MA (746 Statewide)

Telehealth Adoption Rate

44.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tilzey (32 Years) 32 Yrs

Burlington Specialty Average (23.0 Years) 23.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	267	233	$316.47	$69.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	119	$396.09	$101.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$349.50	$86.26
20610 Aspiration and/or injection of fluid from large joint	79	65	$285.38	$51.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	50	49	$189.80	$60.19
27130 Replacement of thigh bone and hip joint with prosthesis	49	49	$5560.00	$1399.68
27447 Replacement of knee joint, both sides of knee	40	38	$5698.93	$1402.44
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$228.29	$49.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$517.67	$136.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$175.39	$36.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	205	182	$240.95	$70.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	152	$343.09	$102.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$332.50	$87.99
20610 Aspiration and/or injection of fluid from large joint	57	46	$247.58	$51.66
27447 Replacement of knee joint, both sides of knee	45	45	$4710.95	$1377.40
27130 Replacement of thigh bone and hip joint with prosthesis	42	41	$4572.57	$1389.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	40	$162.75	$59.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$492.49	$140.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$153.52	$38.25
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$229.00	$51.55

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	208	178	$317.60	$105.29
99213 Established patient office or other outpatient visit, typically 15 minutes	170	144	$221.73	$72.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$321.97	$90.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$475.46	$146.18
27130 Replacement of thigh bone and hip joint with prosthesis	56	55	$4379.72	$1417.17
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	48	48	$151.15	$60.42
27447 Replacement of knee joint, both sides of knee	47	46	$4565.07	$1430.34
20610 Aspiration and/or injection of fluid from large joint	47	42	$242.13	$53.77
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$222.39	$53.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	206	$215.38	$72.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	67	$306.62	$107.95
99202 New patient office or other outpatient visit, typically 20 minutes	64	64	$216.31	$53.66
20610 Aspiration and/or injection of fluid from large joint	47	41	$221.96	$52.20
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	43	42	$146.28	$60.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$309.54	$90.22
27130 Replacement of thigh bone and hip joint with prosthesis	38	38	$4325.05	$1457.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$463.12	$146.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	30	$140.52	$39.24
27447 Replacement of knee joint, both sides of knee	30	28	$4366.63	$1452.20
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$280.61	$110.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	172	148	$208.69	$55.48
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$210.57	$54.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	44	$135.56	$28.25
99221 Initial hospital inpatient care per day, typically 30 minutes	45	45	$272.40	$112.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	42	40	$140.95	$60.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$301.00	$85.26
27130 Replacement of thigh bone and hip joint with prosthesis	36	36	$4133.35	$1546.63
27447 Replacement of knee joint, both sides of knee	29	28	$4224.28	$1470.91
20610 Aspiration and/or injection of fluid from large joint	26	25	$241.00	$57.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$303.50	$82.50
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$76.67	$28.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	165	$202.35	$54.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$291.34	$81.19
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	79	76	$136.61	$59.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	69	$288.09	$84.08
27130 Replacement of thigh bone and hip joint with prosthesis	70	68	$4011.79	$1473.98
27447 Replacement of knee joint, both sides of knee	64	62	$4239.63	$1493.21
99221 Initial hospital inpatient care per day, typically 30 minutes	37	37	$264.81	$110.31
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$203.88	$54.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$131.55	$27.57
20610 Aspiration and/or injection of fluid from large joint	22	20	$205.91	$50.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	308	251	$199.93	$54.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	149	149	$289.83	$81.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	125	$287.00	$83.47
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	83	81	$136.00	$59.85
27130 Replacement of thigh bone and hip joint with prosthesis	81	81	$3985.60	$1519.61
27447 Replacement of knee joint, both sides of knee	52	52	$4239.85	$1534.00
20610 Aspiration and/or injection of fluid from large joint	31	24	$198.68	$49.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$128.50	$27.11
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$202.00	$53.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$190.00	$78.42
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$262.00	$109.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	305	259	$179.00	$53.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	110	$109.00	$26.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$264.00	$79.79
20610 Aspiration and/or injection of fluid from large joint	93	78	$164.87	$49.41
27130 Replacement of thigh bone and hip joint with prosthesis	50	48	$4015.74	$1466.96
27447 Replacement of knee joint, both sides of knee	42	40	$3953.87	$1425.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	40	$263.00	$82.06
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$185.00	$52.75
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$262.00	$106.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$190.00	$76.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$401.00	$135.67

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 159020

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NUCC Taxonomy Code: 207XS0114X

State License MA 159020

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3201775 (MA)

Hospital & Practice Group Affiliations

Lahey Clinic Inc

29 Mall Rd, Burlington, MA 018050001

Lahey Clinic Inc

1 Essex Ctr Dr, Peabody, MA 019602901

Phone: 9785384000

Lahey Clinic Inc

41 Mall Rd, Burlington, MA 018050001

Phone: 7817448771

Practice Associates & Co-Workers

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

1 Associated Practitioners

Kelly Ciccone , PA-C

Physician Assistant

NPI 1710054713

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active September 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 15, 2017

Registered at LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 018050001 (Tel: 7817448886)

📍

Updated Business Mailing Address September 15, 2017

Registered at LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 018050001 (Tel: 7817448886)

👤

Provider Name / Credentials Updated September 15, 2017

Recorded as JOHN TILZEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2017

Orthopaedic Surgery (License #159020 in MA)

✅

NPI Profile Active November 16, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 16, 2010

Registered at LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 018050001 (Tel: 7817448886)

📍

Updated Business Mailing Address November 16, 2010

Registered at LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 018050001 (Tel: 7817448886)

👤

Provider Name / Credentials Updated November 16, 2010

Recorded as JOHN TILZEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2010

Orthopaedic Surgery (License #159020 in MA)

🟢

Initial NPI Registration & Enumeration September 22, 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: 1366541732

Entity Type:

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

Enumeration Date: September 22, 2006

Last Update: September 15, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Lahey Clinic, 41 Mall Road

Burlington, MA 018050001

Phone: 7817448886

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

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