Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1255350716 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Jules Vanwittenberghe , MD

Specialist • Lynn, MA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Vanwittenberghe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 18, 2006
NPI Deactivation Date May 11, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Vanwittenberghe, MD was a registered Specialist practicing in Lynn, MA. Throughout an active medical career spanning 14 years, Dr. Vanwittenberghe provided care at the practice location at 330 LYNN WAY until profile deactivation on 2020-05-11.

Historical Medicare Part B clinical services included established patient outpatient office visit, psychiatric diagnostic evaluation with medical services. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

330 Lynn Way
Suite 101

Lynn, MA 01901

Telephone 7815953003
Fax 7815950071
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lynn, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 53.0 Yrs
State Avg: 37.9 Yrs
Regional Practice Density
7 Specialists

Practicing in Lynn, MA (1181 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
29.9% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
343 112 $90.17 $72.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
115 58 $150.00 $107.83
90792 Psychiatric diagnostic evaluation with medical services
31 18 $225.00 $145.36

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA 40259

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. David Shumway , MD

Psychiatry & Neurology - Psychiatry

NPI 1326069188

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated May 11, 2020

Record deactivated on May 11, 2020

NPI Profile Active February 17, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2010

Registered at 330 LYNN WAY, SUITE 101, LYNN, MA 01901 (Tel: 7815953003)

📍
Updated Business Mailing Address February 17, 2010

Registered at 330 LYNN WAY, SUITE 101 PGNS, LYNN, MA 01901 (Tel: 7815953003)

👤
Provider Name / Credentials Updated February 17, 2010

Recorded as ROBERT VANWITTENBERGHE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2010

Specialist (License #40259 in MA)

🟢
Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Robert Vanwittenberghe. Be the first to share your experience!

Sign in to leave a review for Dr. Robert Vanwittenberghe

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1255350716
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: February 17, 2010
Deactivation Date: May 11, 2020

Mailing Address

330 Lynn Way, Suite 101 Pgns

Lynn, MA 01901

Phone: 7815953003

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.