Active NPI 1740494343 Individual Practitioner Male Practitioner

Dr. John Tsongalis , MD

Pediatrics • Northampton, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Tsongalis, MD is a certified Pediatrics practicing in Northampton, MA. With approximately 22 years of clinical experience since graduating from University Of Massachusetts Medical School in 2004, Dr. Tsongalis delivers high-quality medical care to the local community at 76 CARLON DR STE B.

Dr. Tsongalis is affiliated with Mass General Brigham Medical Group Western Massachusetts Inc 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, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

76 Carlon Dr Ste B

Northampton, MA 010602377

Telephone 4135842178

Fax 4139239312

Medicare Profile & Education

Medical School

University Of Massachusetts Medical School

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Northampton, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs Matches City Avg

City Avg: 22.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

23 Specialists

Practicing in Northampton, MA (2760 Statewide)

Telehealth Adoption Rate

4.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tsongalis (22 Years) 22 Yrs

Northampton Specialty Average (22.0 Years) 22.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	539	285	$306.84	$129.44
99213 Established patient office or other outpatient visit, typically 15 minutes	329	219	$216.03	$92.02
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	284	184	$49.00	$16.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	203	203	$383.00	$131.11
G0008 Administration of influenza virus vaccine	80	78	$61.63	$32.81
90662 Influenza vaccine split virus, preservative free	70	70	$123.63	$81.11
99443 Telephone medical discussion with physician, 21-30 minutes	61	57	$308.20	$129.19
G0442 Annual alcohol misuse screening, 5 to 15 minutes	58	58	$54.00	$19.38
G0444 Annual depression screening, 5 to 15 minutes	55	55	$54.00	$19.38
G0009 Administration of pneumococcal vaccine	27	27	$54.78	$32.81
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	27	27	$450.67	$289.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$432.36	$182.30
87637 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus	21	20	$325.14	$139.78
99495 Transitional care management services for problem of at least moderate complexity	19	16	$495.11	$210.07
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$485.00	$166.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$131.08	$57.54
99496 Transitional care management services for problem of high complexity	12	12	$650.75	$283.61

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	539	302	$301.00	$130.72
99213 Established patient office or other outpatient visit, typically 15 minutes	360	235	$212.00	$92.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	209	209	$383.00	$131.85
G0008 Administration of influenza virus vaccine	83	83	$47.00	$33.81
90662 Influenza vaccine split virus, preservative free	72	72	$99.60	$70.84
99443 Telephone medical discussion with physician, 21-30 minutes	58	49	$302.00	$130.23
G0009 Administration of pneumococcal vaccine	43	43	$45.91	$33.05
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	41	41	$387.32	$275.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	30	$130.00	$58.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$420.00	$182.87
99495 Transitional care management services for problem of at least moderate complexity	21	20	$477.00	$209.33
93000 Routine ekg using at least 12 leads including interpretation and report	15	12	$43.00	$14.54
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$389.00	$168.54
69210 Removal of impacted ear wax	12	12	$139.00	$48.87
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$35.00	$21.90

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	432	273	$295.65	$133.36
99213 Established patient office or other outpatient visit, typically 15 minutes	386	272	$206.76	$93.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	180	$376.39	$135.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	58	$128.65	$58.39
99443 Telephone medical discussion with physician, 21-30 minutes	51	45	$286.71	$133.15
G0008 Administration of influenza virus vaccine	32	32	$46.78	$33.74
90662 Influenza vaccine split virus, preservative free	28	28	$100.82	$68.31
G0009 Administration of pneumococcal vaccine	26	26	$46.19	$33.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$469.84	$173.73
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$42.63	$14.88
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	15	15	$397.00	$278.05
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$206.29	$93.63
99495 Transitional care management services for problem of at least moderate complexity	12	12	$468.25	$215.22
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$386.82	$173.25
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	11	11	$144.27	$55.23

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	707	366	$246.00	$135.32
99213 Established patient office or other outpatient visit, typically 15 minutes	211	179	$168.00	$95.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	164	164	$264.00	$138.45
G0008 Administration of influenza virus vaccine	102	102	$40.00	$19.48
90662 Influenza vaccine split virus, preservative free	86	86	$96.00	$65.16
99443 Telephone medical discussion with physician, 21-30 minutes	81	64	$172.00	$136.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	54	$330.00	$189.34
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	36	36	$206.00	$125.25
G0009 Administration of pneumococcal vaccine	35	35	$40.00	$19.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$102.00	$59.11
99495 Transitional care management services for problem of at least moderate complexity	18	16	$372.00	$215.95
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$33.00	$20.47
81002 Urinalysis, manual test	15	15	$10.00	$3.48
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$119.00	$96.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$372.00	$175.36
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$41.00	$15.44
69210 Removal of impacted ear wax	12	12	$117.00	$50.03
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	12	12	$121.00	$55.44
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$389.00	$175.23
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$377.00	$175.60

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	371	251	$221.27	$114.05
99213 Established patient office or other outpatient visit, typically 15 minutes	311	211	$151.66	$79.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	123	123	$239.61	$121.61
G0008 Administration of influenza virus vaccine	122	117	$38.18	$18.99
99442 Telephone medical discussion with physician, 11-20 minutes	108	93	$119.00	$78.86
90662 Influenza vaccine split virus, preservative free	103	100	$86.06	$60.51
99443 Telephone medical discussion with physician, 21-30 minutes	64	57	$172.00	$114.46
G0009 Administration of pneumococcal vaccine	43	43	$36.23	$18.96
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	40	40	$164.00	$118.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$335.88	$173.17
93000 Routine ekg using at least 12 leads including interpretation and report	24	23	$38.17	$17.92
99495 Transitional care management services for problem of at least moderate complexity	15	11	$328.00	$194.09
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	12	$109.21	$56.15
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$33.00	$19.58
81002 Urinalysis, manual test	13	13	$10.00	$3.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$223.25	$113.45

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	484	281	$213.00	$113.55
99213 Established patient office or other outpatient visit, typically 15 minutes	456	271	$145.00	$77.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	147	147	$224.00	$121.10
G0008 Administration of influenza virus vaccine	126	123	$34.00	$17.48
90662 Influenza vaccine split virus, preservative free	117	115	$57.61	$53.18
G0009 Administration of pneumococcal vaccine	49	48	$34.00	$17.92
81002 Urinalysis, manual test	38	33	$10.00	$3.41
99495 Transitional care management services for problem of at least moderate complexity	35	30	$328.00	$171.35
93000 Routine ekg using at least 12 leads including interpretation and report	32	32	$37.00	$17.92
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	30	$117.33	$107.84
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	25	23	$106.00	$55.63
69210 Removal of impacted ear wax	24	23	$114.83	$48.91
90670 Pneumococcal vaccine for injection into muscle	19	19	$220.26	$208.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$329.00	$171.10
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	13	$27.00	$15.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	528	338	$145.00	$76.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	431	274	$213.00	$112.08
G0008 Administration of influenza virus vaccine	176	173	$34.00	$23.19
90662 Influenza vaccine split virus, preservative free	157	155	$53.00	$51.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	133	133	$224.00	$121.17
81002 Urinalysis, manual test	48	41	$10.00	$3.41
99495 Transitional care management services for problem of at least moderate complexity	31	29	$328.00	$171.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$88.00	$46.11
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	22	17	$106.00	$56.34
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$37.00	$17.86
G0009 Administration of pneumococcal vaccine	19	19	$34.00	$23.21
90682 Influenza vaccine, quadrivalent derived from recombinant dna	17	17	$87.00	$52.30
99496 Transitional care management services for problem of high complexity	13	11	$462.00	$243.21
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$327.00	$173.62

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	462	256	$213.00	$110.49
99213 Established patient office or other outpatient visit, typically 15 minutes	408	246	$145.00	$75.20
G0008 Administration of influenza virus vaccine	152	149	$34.00	$28.66
90662 Influenza vaccine split virus, preservative free	135	132	$52.87	$47.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	130	130	$224.00	$119.76
G0009 Administration of pneumococcal vaccine	33	33	$34.00	$28.66
93000 Routine ekg using at least 12 leads including interpretation and report	31	30	$37.00	$17.68
81002 Urinalysis, manual test	26	25	$10.00	$3.43
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	25	20	$106.00	$55.77
69210 Removal of impacted ear wax	22	22	$106.00	$50.96
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$100.29	$93.14
99495 Transitional care management services for problem of at least moderate complexity	21	17	$328.00	$169.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$88.00	$45.38
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$327.00	$171.07
90670 Pneumococcal vaccine for injection into muscle	13	13	$215.00	$187.04

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 235553

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MA 235553

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.

Hospital & Practice Group Affiliations

Mass General Brigham Medical Group Western Massachusetts Inc

30 Locust St, Northampton, MA 010602052

Phone: 4135822441

Mass General Brigham Medical Group Western Massachusetts Inc

10 Denniston Pl, Northampton, MA 010602052

Phone: 4135869866

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Timothy Parsons , MD

Family Medicine

NPI 1215990569

Doctor of Medicine (M.D.)

Dr. Julia De Almeida , MD

Family Medicine

NPI 1295792349

Doctor of Medicine (M.D.)

Dr. Ellen Senghas , MD

Internal Medicine - Adolescent Medicine

NPI 1326039603

Doctor of Medicine (M.D.)

Camille Balestri , NP

Nurse Practitioner

NPI 1487744124

Nurse Practitioner

Sarah Richard , APRN

Nurse Practitioner - Family

NPI 1689345860

Advanced Practice Registered Nurse

Dr. Peter Elsea , MD

Internal Medicine

NPI 1699731182

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 08, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 08, 2011

Registered at 76 CARLON DR STE B, NORTHAMPTON, MA 010602377 (Tel: 4135842178)

📍

Updated Business Mailing Address September 08, 2011

Registered at 76 CARLON DR STE B, NORTHAMPTON, MA 010602377 (Tel: 4135842178)

👤

Provider Name / Credentials Updated September 08, 2011

Recorded as JOHN TSONGALIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2011

Internal Medicine (License #235553 in MA)

🟢

Initial NPI Registration & Enumeration May 10, 2007

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. John Tsongalis. Be the first to share your experience!

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

NPI Administrative Meta

NPI Number: 1740494343

Entity Type:

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

Enumeration Date: May 10, 2007

Last Update: September 08, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

76 Carlon Dr Ste B

Northampton, MA 010602377

Phone: 4135842178

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.