Active NPI 1861460016 Individual Practitioner Female Practitioner

Dr. Emma Babayan , MD

Internal Medicine • Methuen, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Emma Babayan, MD is a certified Internal Medicine practicing in Methuen, MA. With approximately 45 years of clinical experience since completing medical education in 1981, Dr. Babayan delivers high-quality medical care to the local community at 386 MERRIMACK ST.

Dr. Babayan 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

386 Merrimack St

Methuen, MA 018445885

Telephone 9786881220

Medicare Profile & Education

Medical School

Other

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Methuen, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +13.0 yrs vs City Avg

City Avg: 32.0 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

16 Specialists

Practicing in Methuen, MA (7127 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

63.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Babayan (45 Years) 45 Yrs

Methuen Specialty Average (32.0 Years) 32.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	240	144	$250.00	$91.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	125	125	$280.00	$131.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	90	$350.00	$129.60
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$125.00	$14.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	281	148	$250.00	$92.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	149	149	$280.00	$131.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	69	$350.00	$130.63
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	16	16	$118.75	$53.65
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$125.00	$14.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	296	148	$250.00	$94.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	133	133	$280.00	$135.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	62	$350.00	$133.21
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	14	14	$100.00	$55.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	274	151	$250.00	$96.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	140	140	$280.00	$140.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	35	$350.00	$137.00
93000 Routine ekg using at least 12 leads including interpretation and report	13	11	$125.00	$15.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	336	155	$250.00	$78.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	114	114	$280.00	$121.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$350.00	$113.91
G0008 Administration of influenza virus vaccine	19	19	$40.00	$17.72
90662 Influenza vaccine split virus, preservative free	14	14	$125.00	$60.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$400.00	$113.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	374	176	$191.82	$77.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	99	99	$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	33	26	$259.09	$113.42
93000 Routine ekg using at least 12 leads including interpretation and report	22	21	$125.00	$17.95
G0008 Administration of influenza virus vaccine	19	19	$40.00	$17.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$300.00	$113.23
G0009 Administration of pneumococcal vaccine	16	16	$40.00	$17.42
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$50.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	503	238	$161.43	$76.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	61	$225.55	$112.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	54	54	$276.20	$122.09
G0008 Administration of influenza virus vaccine	37	36	$29.86	$21.55
93000 Routine ekg using at least 12 leads including interpretation and report	35	33	$102.86	$17.89
90662 Influenza vaccine split virus, preservative free	30	29	$67.50	$49.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$287.14	$112.95
G0009 Administration of pneumococcal vaccine	14	14	$27.14	$21.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	390	214	$160.00	$75.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	99	$225.00	$110.93
G0008 Administration of influenza virus vaccine	41	41	$25.00	$24.50
90662 Influenza vaccine split virus, preservative free	32	32	$50.00	$48.05
93000 Routine ekg using at least 12 leads including interpretation and report	29	29	$100.00	$17.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$285.00	$111.50
G0009 Administration of pneumococcal vaccine	19	19	$25.00	$24.50
90670 Pneumococcal vaccine for injection into muscle	14	14	$200.00	$187.17
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	12	12	$25.00	$23.57

Medical Specialties & State Licenses

CMS Verified: 2024-12-22

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 159467

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

3204634 (MA)

Hospital & Practice Group Affiliations

Medical Care Of Boston Management Corporation

93 Pond St, Sharon, MA 020672015

Phone: 7817849212

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Sung Bae Jee , MD

Family Medicine

NPI 1073889226

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location December 22, 2024

Registered at 386 MERRIMACK ST, METHUEN, MA 018445885 (Tel: 9786881220)

✅

NPI Profile Active August 26, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 26, 2011

Registered at 365 MAIN ST, PC SHAH MD INC, WINTHROP, MA 02152 (Tel: 6178465352)

📍

Updated Business Mailing Address August 26, 2011

Registered at 7 HERITAGE LANE, SAUGUS, MA 01906

👤

Provider Name / Credentials Updated August 26, 2011

Recorded as EMMA BABAYAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2011

Internal Medicine (License #159467 in MA)

🟢

Initial NPI Registration & Enumeration March 14, 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: 1861460016

Entity Type:

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

Enumeration Date: March 14, 2006

Last Update: December 22, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7 Heritage Lane

Saugus, MA 01906

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.