Active NPI 1023059631 Individual Practitioner Female Practitioner

Dr. Sonal N. Pandya , MD

Plastic Surgery • Burlington, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sonal Pandya, MD is a certified Plastic Surgery practicing in Burlington, MA. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Pandya delivers high-quality medical care to the local community at 41 MALL RD.

Dr. Pandya 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, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

41 Mall Rd

Burlington, MA 018050001

Telephone 7817445100

Fax 7817445215

Associated Practice Facility / Clinic

🏢 Lahey Clinic Hospital, Inc. Facility NPI 1558392563

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Burlington, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +16.0 yrs vs City Avg

City Avg: 18.0 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

7 Specialists

Practicing in Burlington, MA (152 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pandya (34 Years) 34 Yrs

Burlington Specialty Average (18.0 Years) 18.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	22	$398.97	$102.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$515.32	$140.80
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$313.60	$69.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$348.60	$84.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	81	42	$304.00	$67.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	36	$325.00	$110.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$492.84	$133.71
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$228.93	$73.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	18	$337.55	$100.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$489.14	$155.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$328.00	$94.90
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$235.00	$70.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$334.55	$83.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$321.13	$91.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$317.31	$107.05

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	23	18	$307.17	$109.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$463.67	$149.93

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	36	25	$298.00	$87.31
99441 Telephone medical discussion with physician, 5-10 minutes	34	24	$71.94	$28.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$300.80	$83.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$449.00	$142.97
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$207.00	$57.07

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	87	58	$288.55	$85.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$434.39	$140.22
99213 Established patient office or other outpatient visit, typically 15 minutes	33	26	$200.73	$55.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$292.90	$82.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$289.65	$121.40
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$200.80	$83.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$434.17	$182.61

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	155	91	$286.95	$84.39
99213 Established patient office or other outpatient visit, typically 15 minutes	66	46	$200.00	$55.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$428.56	$139.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$288.84	$82.11
11042 Removal of skin and tissue, 20.0 sq cm or less	31	22	$269.00	$65.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$290.00	$112.12

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	171	75	$263.00	$82.81
11042 Removal of skin and tissue, 20.0 sq cm or less	67	33	$269.00	$63.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$401.00	$134.66
99213 Established patient office or other outpatient visit, typically 15 minutes	47	30	$179.00	$53.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$264.00	$80.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$401.00	$176.52

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MA 156048

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110007668A (MA)

Hospital & Practice Group Affiliations

Lahey Clinic Inc

16 Hayden Ave, Lexington, MA 024217929

Phone: 7813727100

Lahey Clinic Inc

41 Mall Rd, Burlington, MA 018050001

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

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Mehdi Khani , MD

Student in an Organized Health Care Education/Training Program

NPI 1003468570

Doctor of Medicine (M.D.)

Fatima Roda

Physician Assistant

NPI 1003500687

Dr. William Gaasch , MD

Internal Medicine

NPI 1003912551

Doctor of Medicine (M.D.)

Dr. Shannon Mcnall , MD

Student in an Organized Health Care Education/Training Program

NPI 1013648740

Doctor of Medicine (M.D.)

Dr. Frederick Heiss , MD

Internal Medicine - Gastroenterology

NPI 1023101896

Doctor of Medicine (M.D.)

Dr. Stephen Freidberg , MD

Neurological Surgery

NPI 1023109816

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 November 29, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 29, 2010

Registered at 41 MALL RD, BURLINGTON, MA 018050001 (Tel: 7817445100)

📍

Updated Business Mailing Address November 29, 2010

Registered at 41 MALL RD, BURLINGTON, MA 018050001 (Tel: 7817445100)

👤

Provider Name / Credentials Updated November 29, 2010

Recorded as SONAL PANDYA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2010

Plastic Surgery (License #156048 in MA)

🟢

Initial NPI Registration & Enumeration June 08, 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: 1023059631

Entity Type:

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

Enumeration Date: June 08, 2006

Last Update: November 29, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

41 Mall Rd

Burlington, MA 018050001

Phone: 7817445100

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.