Active NPI 1376542191 Individual Practitioner Male Practitioner

Dr. Joseph Upton , MD

Surgery - Plastic and Reconstructive Surgery • Chestnut Hill, MA

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Upton, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Chestnut Hill, MA. Practice services are available at 822 BOYLSTON ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection into tendon or ligament, new 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

822 Boylston St

Chestnut Hill, MA 024672595

Telephone 6177391972

Fax 6177396624

Associated Practice Facility / Clinic

🏢 Paul Glazer, M.d., P.c. Facility NPI 1700817228

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Chestnut Hill, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 53.0 Yrs

State Avg: 34.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Chestnut Hill, MA (76 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.8% 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 (2020)

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	27	24	$260.00	$86.42
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$169.00	$56.10

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	48	40	$258.00	$83.57
20550 Injection into tendon or ligament	26	18	$232.00	$37.22
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$167.00	$55.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$422.00	$138.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$249.00	$82.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	55	$235.00	$49.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	22	15	$40.00	$1.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$710.00	$180.86
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$325.00	$80.88
20550 Injection into tendon or ligament	18	11	$406.39	$54.02
29125 Application of nonmoveable forearm to hand splint	16	16	$400.00	$22.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$247.00	$84.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$500.00	$112.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	66	$235.00	$47.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	27	19	$40.00	$1.81
20550 Injection into tendon or ligament	27	16	$385.00	$51.89
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$325.00	$79.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$710.00	$176.39

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License MA 41025

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield

M09457 (MA)

Commercial Insurance / Payer ID Tufts

710353 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim

B77000BI (MA)

Practice Associates & Co-Workers

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

7 Associated Practitioners

Tammy Boecher , MSN, RN, CS

Nurse Practitioner - Adult Health

NPI 1639216138

Master of Science in Nursing, Registered Nurse, CS

Barbara Kellman , LCSW

Social Worker - Clinical

NPI 1699300988

Licensed Clinical Social Worker

Dr. Paul Glazer , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1750321287

Doctor of Medicine (M.D.)

Dr. Karin Hjalmarson , MD

Internal Medicine

NPI 1811987225

Doctor of Medicine (M.D.)

Dr. Vincent Paquette , MD

Internal Medicine

NPI 1851385389

Doctor of Medicine (M.D.)

Dr. George Kozak , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1902957863

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location March 16, 2019

Registered at 822 BOYLSTON ST, CHESTNUT HILL, MA 024672595 (Tel: 6177391972)

📍

Updated Business Mailing Address March 16, 2019

Registered at PO BOX 67191, CHESTNUT HILL, MA 024670002 (Tel: 6177391972)

✅

NPI Profile Active February 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 06, 2017

Registered at 830 BOYLSTON ST, SUITE 212, CHESTNUT HILL, MA 024672503 (Tel: 6177391972)

📍

Updated Business Mailing Address February 06, 2017

Registered at 830 BOYLSTON ST, SUITE 212, CHESTNUT HILL, MA 024672503 (Tel: 6177391972)

👤

Provider Name / Credentials Updated February 06, 2017

Recorded as JOSEPH UPTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2017

Surgery (License #41025 in MA)

✅

NPI Profile Active October 10, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2013

Registered at 830 BOYLSTON ST, SUITE 212, CHESTNUT HILL, MA 024672503 (Tel: 6177391972)

📍

Updated Business Mailing Address October 10, 2013

Registered at 830 BOYLSTON ST, SUITE 212, CHESTNUT HILL, MA 024672503 (Tel: 6177391972)

👤

Provider Name / Credentials Updated October 10, 2013

Recorded as JOSEPH UPTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2013

Surgery (License #41025 in MA)

🟢

Initial NPI Registration & Enumeration July 14, 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: 1376542191

Entity Type:

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

Enumeration Date: July 14, 2005

Last Update: March 16, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 67191

Chestnut Hill, MA 024670002

Phone: 6177391972

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.