Active NPI 1245305325 Individual Practitioner Male Practitioner

Dr. Sameer Gaonkar , MD

Internal Medicine • Medford, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sameer Gaonkar, MD is a certified Internal Medicine practicing in Medford, MA. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. Gaonkar delivers high-quality medical care to the local community at 101 MAIN ST STE 116.

Dr. Gaonkar is affiliated with Urgent Care Operations Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19), 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

101 Main St Ste 116

Medford, MA 021554530

Telephone 7816204894

Fax 7813950759

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Medford, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +11.6 yrs vs City Avg

City Avg: 30.4 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

43 Specialists

Practicing in Medford, MA (7127 Statewide)

Telehealth Adoption Rate

32.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gaonkar (42 Years) 42 Yrs

Medford Specialty Average (30.4 Years) 30.4 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	29	29	$222.20	$129.93
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	17	17	$59.00	$40.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$338.82	$168.81
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$190.00	$92.24
81003 Automated urinalysis test	11	11	$29.65	$2.20

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	30	30	$222.20	$130.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$338.82	$169.58
81003 Automated urinalysis test	17	17	$32.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$167.22	$92.44
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	12	12	$59.00	$40.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	45	44	$59.00	$40.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$222.20	$132.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$338.82	$172.50
87804 Detection test by immunoassay with direct visual observation for influenza virus	36	18	$31.20	$16.31
99213 Established patient office or other outpatient visit, typically 15 minutes	33	33	$150.94	$94.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$223.16	$116.03
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$32.00	$16.25
81003 Automated urinalysis test	13	13	$32.00	$2.21

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	249	110	$390.00	$108.12
99213 Established patient office or other outpatient visit, typically 15 minutes	50	43	$260.00	$74.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$340.00	$148.81
G0444 Annual depression screening, 5 to 15 minutes	33	33	$75.00	$10.24
99496 Transitional care management services for problem of high complexity	17	14	$600.00	$214.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	199	117	$258.64	$56.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	52	$388.75	$86.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$340.00	$130.42
99442 Telephone medical discussion with physician, 11-20 minutes	51	44	$262.55	$64.64
99441 Telephone medical discussion with physician, 5-10 minutes	32	24	$156.41	$35.97
99496 Transitional care management services for problem of high complexity	20	14	$600.00	$183.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$358.72	$87.96
99443 Telephone medical discussion with physician, 21-30 minutes	15	13	$372.00	$97.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$580.00	$141.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	109	$253.59	$56.62
99285 Emergency department visit for life threatening or functioning severity	80	79	$1091.00	$183.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	39	$352.89	$89.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$223.16	$113.50
99284 Emergency department visit with moderate level of medical decision making	13	13	$885.00	$125.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$340.00	$128.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	630	581	$1091.00	$183.04
99284 Emergency department visit with moderate level of medical decision making	106	105	$765.99	$124.61
99291 Critical care, first 30-74 minutes	62	62	$1424.00	$238.35
99283 Emergency department visit with low level of medical decision making	45	44	$391.00	$64.73
93042 Interpretation and report of electrical activity of heart using 1-3 leads	32	32	$45.00	$7.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$224.79	$109.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$338.82	$168.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	543	516	$954.62	$178.41
99284 Emergency department visit with moderate level of medical decision making	105	103	$645.37	$120.36
99291 Critical care, first 30-74 minutes	71	70	$1247.92	$233.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$224.60	$109.87
99283 Emergency department visit with low level of medical decision making	41	41	$339.37	$63.08
93042 Interpretation and report of electrical activity of heart using 1-3 leads	33	32	$41.97	$7.39
99292 Critical care, each additional 30 minutes	14	13	$609.50	$117.15

Medical Specialties & State Licenses

CMS Verified: 2021-02-18

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 212835

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.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License MA 212835

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

Urgent Care Operations Pc

50 Dodge St, Beverly, MA 019151765

Phone: 9789222171

Secondary Practice Locations

103 Garland St

Everett, MA 021495066

Phone: 6173817150

Practice Associates & Co-Workers

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

2 Associated Practitioners

Brittany Paskal , NP

Nurse Practitioner - Family

NPI 1770002818

Nurse Practitioner

Dr. Jonathan Rothberg , MD

Internal Medicine

NPI 1972582682

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 18, 2021

Registered at 101 MAIN ST STE 116, MEDFORD, MA 021554530 (Tel: 7816204894)

📍

Updated Business Mailing Address February 18, 2021

Registered at 101 MAIN ST STE 116, MEDFORD, MA 021554530 (Tel: 7816204894)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 103 GARLAND ST, EVERETT, MA 021495066 (Tel: 6173817150)

📍

Updated Business Mailing Address July 08, 2007

Registered at 103 GARLAND ST, EVERETT, MA 021495066 (Tel: 6173817150)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as SAMEER GAONKAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #212835 in MA)

🟢

Initial NPI Registration & Enumeration November 22, 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: 1245305325

Entity Type:

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

Enumeration Date: November 22, 2006

Last Update: February 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

101 Main St Ste 116

Medford, MA 021554530

Phone: 7816204894

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.