Active NPI 1598712739 Individual Practitioner Male Practitioner

Dr. Oleksandr Stupnytskyi , MD

Internal Medicine • Lawrence, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Oleksandr Stupnytskyi, MD is a certified Internal Medicine practicing in Lawrence, MA. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Stupnytskyi delivers high-quality medical care to the local community at 25 MARSTON STREET.

Dr. Stupnytskyi is affiliated with Medical Care Of Boston Management Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

25 Marston Street
404a

Lawrence, MA 01841

Telephone 9787255913

Fax 9787255918

Associated Practice Facility / Clinic

🏢 Eagle Medicine Associates Facility NPI 1588952550

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lawrence, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +17.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

35 Specialists

Practicing in Lawrence, MA (7127 Statewide)

Telehealth Adoption Rate

25.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stupnytskyi (38 Years) 38 Yrs

Lawrence Specialty Average (20.3 Years) 20.3 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	658	363	$350.00	$128.78
99213 Established patient office or other outpatient visit, typically 15 minutes	510	341	$250.00	$91.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	367	367	$280.00	$131.07
93000 Routine ekg using at least 12 leads including interpretation and report	51	46	$125.00	$14.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	38	$500.00	$181.74
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	27	26	$80.00	$40.55
69210 Removal of impacted ear wax	23	23	$150.00	$48.33
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$60.00	$16.22
83036 Hemoglobin A1C level	21	19	$40.00	$9.52
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	19	18	$150.00	$54.36
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$300.00	$166.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	628	329	$250.00	$92.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	601	327	$350.00	$129.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	390	390	$280.00	$131.85
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	127	16	$128.00	$49.92
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	127	16	$128.00	$52.38
93000 Routine ekg using at least 12 leads including interpretation and report	55	49	$125.00	$14.85
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	30	28	$120.00	$53.65
69210 Removal of impacted ear wax	25	25	$150.00	$48.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$500.00	$182.75
83036 Hemoglobin A1C level	20	19	$40.00	$9.52
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	16	16	$80.00	$40.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	776	379	$250.00	$93.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	525	317	$350.00	$132.85
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	446	76	$129.70	$58.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	388	388	$280.00	$135.61
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	235	73	$122.25	$51.78
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	35	$100.00	$55.14
93000 Routine ekg using at least 12 leads including interpretation and report	31	30	$125.00	$14.93
83036 Hemoglobin A1C level	28	25	$40.00	$9.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$500.00	$188.18
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	22	22	$38.00	$19.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$400.00	$173.58
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$300.00	$173.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	804	369	$250.00	$96.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	437	303	$350.00	$136.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	366	366	$280.00	$140.26
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	63	30	$120.00	$53.56
93000 Routine ekg using at least 12 leads including interpretation and report	63	60	$125.00	$15.71
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	48	24	$130.00	$67.63
83036 Hemoglobin A1C level	36	33	$40.00	$9.71
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	36	34	$100.00	$56.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	27	$500.00	$191.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$400.00	$176.90
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	19	19	$60.00	$20.50
G0179 Physician re-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 to affirm the initial imp	18	14	$100.00	$43.59
69210 Removal of impacted ear wax	14	13	$150.00	$50.51
93242 Heart rhythm recording continous external ekg over more than 48 hours up to 7 days	12	12	$200.00	$16.37
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$300.00	$177.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,012	410	$250.00	$78.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	303	303	$280.00	$121.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	272	181	$350.00	$113.89
G0008 Administration of influenza virus vaccine	106	105	$40.00	$17.74
90662 Influenza vaccine split virus, preservative free	85	85	$125.00	$60.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	18	$150.00	$74.70
G0009 Administration of pneumococcal vaccine	31	31	$40.00	$17.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$400.00	$172.71
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$125.00	$18.02
90670 Pneumococcal vaccine for injection into muscle	19	19	$250.00	$223.88
99239 Hospital discharge day management, more than 30 minutes	18	16	$250.00	$110.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$400.00	$113.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$125.00	$47.82
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$300.00	$174.45
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$66.15	$48.09
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$161.54	$113.77
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$50.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	982	404	$199.65	$77.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	296	296	$280.00	$121.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	189	$263.60	$112.85
G0008 Administration of influenza virus vaccine	157	156	$40.00	$17.42
G0009 Administration of pneumococcal vaccine	134	131	$40.00	$17.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	118	46	$150.00	$73.69
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	114	114	$50.00	$18.65
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	96	96	$138.54	$104.12
93000 Routine ekg using at least 12 leads including interpretation and report	55	52	$125.00	$17.91
99239 Hospital discharge day management, more than 30 minutes	53	39	$250.00	$109.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	47	$125.00	$47.32
90670 Pneumococcal vaccine for injection into muscle	37	37	$250.00	$208.86
90682 Influenza vaccine, quadrivalent derived from recombinant dna	36	36	$65.00	$54.89
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	36	11	$150.00	$71.46
87804 Detection test by immunoassay with direct visual observation for influenza virus	31	15	$60.00	$16.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$328.57	$171.32
69210 Removal of impacted ear wax	26	23	$100.00	$49.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	22	$300.00	$137.18
83036 Hemoglobin A1C level	26	26	$40.00	$10.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	12	$250.00	$107.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$400.00	$201.10
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$300.00	$172.68
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	12	$50.00	$16.20
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$300.00	$178.33
99497 Advance care planning, first 30 minutes	12	12	$200.00	$88.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	807	367	$161.64	$76.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	285	285	$276.12	$122.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	267	61	$204.01	$75.52
G0008 Administration of influenza virus vaccine	163	160	$30.06	$21.55
90662 Influenza vaccine split virus, preservative free	153	150	$73.04	$49.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	121	$226.52	$112.54
99239 Hospital discharge day management, more than 30 minutes	85	51	$505.71	$112.09
G0009 Administration of pneumococcal vaccine	67	67	$27.91	$21.55
93000 Routine ekg using at least 12 leads including interpretation and report	67	64	$103.36	$17.92
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	45	45	$91.11	$89.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	29	$482.93	$210.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	29	$425.26	$141.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	14	$250.00	$108.14
90670 Pneumococcal vaccine for injection into muscle	23	23	$210.87	$196.15
83036 Hemoglobin A1C level	23	22	$40.00	$11.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$320.83	$172.57
99217 Hospital observation care on day of discharge	16	15	$208.44	$76.09
69210 Removal of impacted ear wax	16	14	$76.56	$51.23
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$257.14	$169.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$123.21	$46.11
99220 Hospital observation care, typically 70 minutes	12	12	$414.58	$193.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	571	316	$160.00	$75.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	217	$225.00	$111.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	277	277	$275.00	$119.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	193	62	$220.16	$73.79
G0008 Administration of influenza virus vaccine	129	128	$25.00	$24.50
G0009 Administration of pneumococcal vaccine	119	119	$25.00	$24.50
90662 Influenza vaccine split virus, preservative free	113	113	$50.00	$48.05
93000 Routine ekg using at least 12 leads including interpretation and report	89	87	$100.00	$17.69
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	78	78	$100.00	$96.42
99239 Hospital discharge day management, more than 30 minutes	77	42	$565.00	$110.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$325.00	$168.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	41	$500.00	$207.22
90670 Pneumococcal vaccine for injection into muscle	46	46	$200.00	$185.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	29	$440.00	$139.77
83036 Hemoglobin A1C level	34	31	$40.00	$13.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	15	$250.00	$106.64
69210 Removal of impacted ear wax	19	19	$75.00	$50.81
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	17	17	$25.00	$23.57
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$250.00	$169.72

Medical Specialties & State Licenses

CMS Verified: 2020-01-24

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 233485

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License KY 36415

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2140233 (MA)

Commercial Insurance / Payer ID Aetna

7778264

Commercial Insurance / Payer ID Bmc

1598712739

Commercial Insurance / Payer ID Uhc

510492088

Commercial Insurance / Payer ID Fallon

29164

Commercial Insurance / Payer ID Hphc

AA98601

Commercial Insurance / Payer ID Bcbs

J42413

Commercial Insurance / Payer ID Network Health

95867101

Commercial Insurance / Payer ID Tufts

496927

Hospital & Practice Group Affiliations

Medical Care Of Boston Management Corporation

386 Merrimack St, Methuen, MA 018445886

Phone: 9786881220

Practice Associates & Co-Workers

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

1 Associated Practitioners

Denise Lopez , FNP-BC

Nurse Practitioner - Family

NPI 1497227821

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address January 24, 2020

Registered at 25 MARSTON ST, APT 203, LAWRENCE, MA 018412357 (Tel: 9787255913)

✅

NPI Profile Active March 07, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 07, 2013

Registered at 25 MARSTON STREET, 404A, LAWRENCE, MA 01841 (Tel: 9787255913)

📍

Updated Business Mailing Address March 07, 2013

Registered at 25 MARSTON STREET, 404A, LAWRENCE, MA 01841 (Tel: 9787255913)

👤

Provider Name / Credentials Updated March 07, 2013

Recorded as OLEKSANDR STUPNYTSKYI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2013

Internal Medicine (License #233485 in MA)

🟢

Initial NPI Registration & Enumeration May 30, 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: 1598712739

Entity Type:

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

Enumeration Date: May 30, 2006

Last Update: January 24, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

25 Marston St, Apt 203

Lawrence, MA 018412357

Phone: 9787255913

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.