Active NPI 1376557082 Individual Practitioner Male Practitioner

Dr. Algernon D Anatol , MD

Internal Medicine • Springfield, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Algernon Anatol, MD is a certified Internal Medicine practicing in Springfield, MA. With approximately 27 years of clinical experience since graduating from University Of Connecticut School Of Medicine in 1999, Dr. Anatol delivers high-quality medical care to the local community at 759 CHESTNUT STREET.

Dr. Anatol is affiliated with Baystate Medical Practices Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, hospital observation care. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

759 Chestnut Street

Springfield, MA 01107

Telephone 4137946297

Fax 4137941767

Medicare Profile & Education

Medical School

University Of Connecticut School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +6.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

289 Specialists

Practicing in Springfield, MA (7127 Statewide)

Telehealth Adoption Rate

16.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Anatol (27 Years) 27 Yrs

Springfield Specialty Average (20.3 Years) 20.3 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	180	173	$475.20	$170.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	130	125	$332.48	$128.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	184	174	$319.89	$131.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	144	139	$468.49	$174.96

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	126	126	$468.81	$201.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	117	113	$319.26	$137.57
99220 Hospital observation care, typically 70 minutes	113	112	$428.15	$181.47
99226 Subsequent observation care, typically 35 minutes per day	12	12	$240.00	$102.70

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	226	221	$468.45	$205.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	128	127	$319.00	$139.59
99220 Hospital observation care, typically 70 minutes	83	81	$428.61	$186.62
99217 Hospital observation care on day of discharge	12	12	$168.00	$74.38

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	226	220	$462.61	$211.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	128	127	$312.91	$143.37
99220 Hospital observation care, typically 70 minutes	82	82	$422.05	$193.00
99226 Subsequent observation care, typically 35 minutes per day	11	11	$236.36	$109.35

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	141	140	$477.39	$209.24
99220 Hospital observation care, typically 70 minutes	68	68	$433.49	$191.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	66	$323.85	$138.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	22	$424.16	$113.31
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	21	21	$509.24	$224.91

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	142	135	$485.00	$210.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	57	$329.00	$141.88
99220 Hospital observation care, typically 70 minutes	34	34	$445.00	$193.21
99219 Hospital observation care, typically 50 minutes	12	12	$326.00	$141.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	200	36	$240.00	$62.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	130	123	$485.00	$207.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	81	80	$329.00	$139.78
99213 Established patient office or other outpatient visit, typically 15 minutes	36	33	$110.00	$71.67
80076 Liver function blood test panel	30	22	$80.00	$10.99
99220 Hospital observation care, typically 70 minutes	29	29	$445.00	$189.87
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	28	18	$100.00	$98.00
99219 Hospital observation care, typically 50 minutes	12	12	$326.00	$139.09

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 215352

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License MA 215352

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Hospital & Practice Group Affiliations

Baystate Medical Practices Inc

759 Chestnut St, Springfield, MA 011071619

Phone: 4137948121

Secondary Practice Locations

271 Carew Street

Springfield, MA 01104

Phone: 4137489392

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Doctor of Osteopathic Medicine (D.O.)

Dr. Krishnakant Gurjar , MD

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NPI 1003425455

Doctor of Medicine (M.D.)

Dr. Kanishq Rajan Jethani , MD

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NPI 1003553744

Doctor of Medicine (M.D.)

Dr. Twara Tarasaria , MD

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NPI 1013371954

Doctor of Medicine (M.D.)

Dr. Noor Tariq , MD

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NPI 1013402817

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 October 14, 2019

Registered at 759 CHESTNUT STREET, SPRINGFIELD, MA 01107 (Tel: 4137946297)

📍

Updated Business Mailing Address October 14, 2019

Registered at 280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

✅

NPI Profile Active March 21, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2011

Registered at 271 CAREW STREET, SPRINGFIELD, MA 01104 (Tel: 4137489392)

📍

Updated Business Mailing Address March 21, 2011

Registered at 271 CAREW STREET, MERCY INPATIENT MEDICAL ASSOCIATES, SPRINGFIELD, MA 01104 (Tel: 4137489392)

👤

Provider Name / Credentials Updated March 21, 2011

Recorded as ALGERNON ANATOL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2011

Hospitalist (License #215352 in MA)

🟢

Initial NPI Registration & Enumeration July 28, 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: 1376557082

Entity Type:

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

Enumeration Date: July 28, 2006

Last Update: October 14, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

280 Chestnut Street, 2nd Floor

Springfield, MA 011991001

Phone: 4137945700

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.