Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841281227 Individual Practitioner Male Practitioner

Dr. Michael Blair Tantillo , MD

Plastic Surgery • Chestnut Hill, MA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Tantillo, MD is a registered healthcare professional specializing in Plastic Surgery in Chestnut Hill, MA. Practice services are available at 25 BOYLSTON STREET under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

25 Boylston Street
Suite 304

Chestnut Hill, MA 02467

Telephone 6175056818
Fax 6175056813
Associated Practice Facility / Clinic
🏢 Clareo Aesthetics Facility NPI 1134762693

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Chestnut Hill, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 32.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Chestnut Hill, MA (152 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.0% 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
99202 New patient office or other outpatient visit, typically 20 minutes
23 23 $144.87 $46.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
21 16 $62.29 $34.49

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MA 74194

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.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License NH 19264

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
3192873 (MA)

Secondary Practice Locations

100 Hitchcock Way

Manchester, NH 03104

Phone: 6036952500

25 Boylston Street, Suite 304

Chestnut Hill, MA 02467

Phone: 6175056818

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1508270281

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location November 30, 2018

Registered at 25 BOYLSTON STREET, SUITE 304, CHESTNUT HILL, MA 02467 (Tel: 6175056818)

📍
Updated Business Mailing Address November 30, 2018

Registered at 25 BOYLSTON STREET, SUITE 304, CHESTNUT HILL, MA 02467 (Tel: 6175056818)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2018

Plastic Surgery (License #19264 in NH)

NPI Profile Active January 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2017

Registered at 21 MERCHANTS ROW, SUITE 3A, BOSTON, MA 021092005 (Tel: 6179739700)

📍
Updated Business Mailing Address January 20, 2017

Registered at 21 MERCHANTS ROW, SUITE 3A, BOSTON, MA 021092005 (Tel: 6179739700)

👤
Provider Name / Credentials Updated January 20, 2017

Recorded as MICHAEL TANTILLO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2017

Plastic Surgery (License #74194 in MA)

NPI Profile Active September 07, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2007

Registered at 235 CYPRESS ST, SUITE 210, BROOKLINE, MA 024456776 (Tel: 6173836250)

📍
Updated Business Mailing Address September 07, 2007

Registered at 235 CYPRESS ST, SUITE 210, BROOKLINE, MA 024456776 (Tel: 6173836250)

👤
Provider Name / Credentials Updated September 07, 2007

Recorded as MICHAEL TANTILLO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2007

Plastic Surgery (License #74194 in MA)

🟢
Initial NPI Registration & Enumeration November 03, 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: 1841281227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2005
Last Update: November 30, 2018
Sole Proprietor: No

Mailing Address

25 Boylston Street, Suite 304

Chestnut Hill, MA 02467

Phone: 6175056818

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.