Active NPI 1023096682 Individual Practitioner Female Practitioner

Dr. Binu Pathrose , MD

Internal Medicine • Leominster, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Binu Pathrose, MD is a certified Internal Medicine practicing in Leominster, MA. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Pathrose delivers high-quality medical care to the local community at 60 HOSPITAL RD.

Dr. Pathrose is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

60 Hospital Rd

Leominster, MA 014532205

Telephone 9784664169

Fax 9784664164

Associated Practice Facility / Clinic

🏢 Umass Memorial Health Care, Inc. Facility NPI 1366420663

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 Internal Medicine in Leominster, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +2.7 yrs vs City Avg

City Avg: 31.3 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

37 Specialists

Practicing in Leominster, MA (7127 Statewide)

Telehealth Adoption Rate

16.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pathrose (34 Years) 34 Yrs

Leominster Specialty Average (31.3 Years) 31.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	503	218	$238.00	$77.70
99239 Hospital discharge day management, more than 30 minutes	247	210	$355.00	$113.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	181	167	$667.00	$170.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	146	92	$342.00	$115.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	11	$158.00	$48.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$450.00	$128.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	569	233	$238.00	$79.75
99239 Hospital discharge day management, more than 30 minutes	244	218	$355.00	$115.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	131	127	$667.00	$174.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	130	90	$342.00	$119.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	41	$450.00	$131.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	18	$158.00	$49.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	358	177	$342.00	$104.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	246	142	$238.00	$71.98
99239 Hospital discharge day management, more than 30 minutes	183	170	$354.93	$106.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	139	134	$667.00	$200.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	12	$158.00	$39.06
99217 Hospital observation care on day of discharge	31	31	$249.00	$72.91
99220 Hospital observation care, typically 70 minutes	17	17	$611.00	$181.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	123	60	$340.62	$107.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	90	86	$646.00	$207.93
99239 Hospital discharge day management, more than 30 minutes	88	76	$353.25	$110.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	46	$236.13	$74.64
99220 Hospital observation care, typically 70 minutes	13	12	$596.46	$189.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$434.33	$141.25
99217 Hospital observation care on day of discharge	12	12	$247.75	$75.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	131	130	$608.89	$211.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	107	71	$317.72	$108.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	98	74	$224.29	$74.01
99239 Hospital discharge day management, more than 30 minutes	77	74	$336.43	$111.60
99220 Hospital observation care, typically 70 minutes	31	31	$559.94	$193.17
99217 Hospital observation care on day of discharge	19	19	$241.26	$76.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	16	$125.26	$40.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$419.92	$143.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	206	153	$204.65	$76.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	160	124	$296.74	$108.75
99239 Hospital discharge day management, more than 30 minutes	103	100	$306.44	$111.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	77	$582.18	$211.58
99217 Hospital observation care on day of discharge	40	39	$215.20	$76.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	24	$106.85	$41.21
99220 Hospital observation care, typically 70 minutes	33	33	$542.64	$194.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$383.00	$143.27
99225 Subsequent observation care, typically 25 minutes per day	28	24	$205.29	$76.48
99226 Subsequent observation care, typically 35 minutes per day	13	13	$285.38	$109.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	179	120	$258.44	$75.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	147	110	$380.40	$107.75
99239 Hospital discharge day management, more than 30 minutes	88	87	$375.56	$112.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	59	$732.83	$210.61
99217 Hospital observation care on day of discharge	38	38	$255.95	$76.12
99219 Hospital observation care, typically 50 minutes	30	30	$407.88	$141.17
99291 Critical care, first 30-74 minutes	25	24	$866.28	$230.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$397.69	$141.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$118.24	$40.68
99225 Subsequent observation care, typically 25 minutes per day	15	13	$257.57	$75.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	225	150	$194.46	$73.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	141	100	$290.30	$106.65
99239 Hospital discharge day management, more than 30 minutes	98	96	$309.05	$110.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	57	$541.25	$204.49
99217 Hospital observation care on day of discharge	27	27	$216.19	$74.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$340.76	$140.36
99219 Hospital observation care, typically 50 minutes	17	17	$301.18	$139.11
99220 Hospital observation care, typically 70 minutes	12	12	$486.50	$190.09

Medical Specialties & State Licenses

CMS Verified: 2020-10-27

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 226892

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2130149 (MA)

Commercial Insurance / Payer ID Medicare Group

M20928

Commercial Insurance / Payer ID Medicaid Group

9771476

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

60 Hospital Rd, Leominster, MA 014532205

Phone: 9784662257

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Umass Memorial Medical Group Inc

201 Highland St, Clinton, MA 015101037

Phone: 9783683731

Secondary Practice Locations

201 Highland St

Clinton, MA 015101037

Phone: 9783683000

101 Page St

New Bedford, MA 027403464

Phone: 5089735919

Practice Associates & Co-Workers

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

32 Associated Practitioners

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Internal Medicine

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Doctor of Medicine (M.D.)

Dr. Jay Glaser , MD

Internal Medicine

NPI 1033203195

Doctor of Medicine (M.D.)

Dr. Varun Vadlapatla , DO

Family Medicine

NPI 1114667979

Doctor of Osteopathic Medicine (D.O.)

Elizabeth Terhune

Nurse Practitioner

NPI 1134594518

Dr. April Cyr , MD

Family Medicine

NPI 1144202664

Doctor of Medicine (M.D.)

Dr. Lisa Macvane , MD

Family Medicine

NPI 1215514286

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

17 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2018

Internal Medicine (License #226892 in MA)

✅

NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2018

Registered at 60 HOSPITAL RD, LEOMINSTER, MA 014532205 (Tel: 9784664169)

📍

Updated Business Mailing Address March 17, 2018

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: (800) 225-8885)

👤

Provider Name / Credentials Updated March 17, 2018

Recorded as BINU PATHROSE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Hospitalist (License #226892 in MA)

✅

NPI Profile Active June 29, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 29, 2017

Registered at 60 HOSPITAL RD, LEOMINSTER, MA 014532205 (Tel: 9784664169)

📍

Updated Business Mailing Address June 29, 2017

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: (800) 225-8885)

👤

Provider Name / Credentials Updated June 29, 2017

Recorded as BINU PATHROSE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2017

Internal Medicine (License #226892 in MA)

✅

NPI Profile Active August 29, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 29, 2011

Registered at 60 HOSPITAL RD, LEOMINSTER, MA 014532205 (Tel: 9784664169)

📍

Updated Business Mailing Address August 29, 2011

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

👤

Provider Name / Credentials Updated August 29, 2011

Recorded as BINU PATHROSE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2011

Internal Medicine (License #226892 in MA)

🟢

Initial NPI Registration & Enumeration January 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1023096682

Entity Type:

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

Enumeration Date: January 04, 2006

Last Update: October 27, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.