Active NPI 1861414823 Individual Practitioner Female Practitioner

Dr. Erika K Fellinger , MD

Surgery • Cambridge, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Erika Fellinger, MD is a certified Surgery practicing in Cambridge, MA. With approximately 28 years of clinical experience since graduating from University Of Vermont College Of Medicine in 1998, Dr. Fellinger delivers high-quality medical care to the local community at 1493 CAMBRIDGE ST.

Dr. Fellinger is affiliated with Cambridge Public Health Commission and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include biopsy of large bowel using an endoscope, new patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1493 Cambridge St

Cambridge, MA 021391047

Telephone 6176653575

Associated Practice Facility / Clinic

🏢 Cambridge Public Health Commission Facility NPI 1487603585

Medicare Profile & Education

Medical School

University Of Vermont College Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cambridge, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +5.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

20 Specialists

Practicing in Cambridge, MA (1077 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

76.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fellinger (28 Years) 28 Yrs

Cambridge 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
45380 Biopsy of large bowel using an endoscope	13	13	$1064.00	$212.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$234.00	$87.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	42	41	$1064.00	$165.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$787.00	$93.45
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$893.00	$195.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$181.00	$84.08
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$140.00	$66.86
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1193.00	$268.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	25	25	$1064.00	$165.44
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$140.00	$72.27
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$893.00	$176.63
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$787.00	$96.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$98.00	$41.89
45380 Biopsy of large bowel using an endoscope	14	14	$1064.00	$208.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	16	12	$140.00	$56.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$207.00	$82.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	22	$140.00	$54.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	21	$85.00	$27.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	13	$181.00	$78.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$207.00	$82.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$205.00	$84.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	47	31	$140.00	$55.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	19	$98.00	$42.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	17	$181.00	$78.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	17	$85.00	$27.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$207.00	$82.73
45380 Biopsy of large bowel using an endoscope	14	14	$1064.00	$122.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$339.00	$147.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	40	$138.75	$53.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	29	$173.55	$76.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$83.89	$26.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	17	$94.40	$41.28
45380 Biopsy of large bowel using an endoscope	20	19	$1044.55	$189.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$207.19	$80.73

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 220541

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

2079411 (MA)

Commercial Insurance / Payer ID Bcbsma

J27627 (MA)

Hospital & Practice Group Affiliations

Cambridge Public Health Commission

103 Garland St, Everett, MA 021495066

Phone: 6173896270

Practice Associates & Co-Workers

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

5 Associated Practitioners

Kenrith Plummer , PA

Physician Assistant

NPI 1306867742

Physician Assistant

Dr. Arundhati Ghosh , MD

Surgery

NPI 1609828177

Doctor of Medicine (M.D.)

Bernadette Tuncel , PA

Physician Assistant

NPI 1629191820

Physician Assistant

Erika Cunningham , PA

Physician Assistant

NPI 1720209182

Physician Assistant

Dr. Ketan Sheth , MD

Surgery

NPI 1982621348

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 December 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 05, 2011

Registered at 1493 CAMBRIDGE ST, CAMBRIDGE, MA 021391047 (Tel: 6176653575)

📍

Updated Business Mailing Address December 05, 2011

Registered at 1493 CAMBRIDGE ST, CAMBRIDGE, MA 021391047 (Tel: 6176653575)

👤

Provider Name / Credentials Updated December 05, 2011

Recorded as ERIKA FELLINGER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2011

Surgery (License #220541 in MA)

🟢

Initial NPI Registration & Enumeration July 25, 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: 1861414823

Entity Type:

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

Enumeration Date: July 25, 2006

Last Update: December 05, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1493 Cambridge St

Cambridge, MA 021391047

Phone: 6176653575

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.