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Active NPI 1528633096 Individual Practitioner Female Practitioner

Dr. Russl Altabtabaee , DPM

Podiatrist • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Russl Altabtabaee, DPM is a certified Podiatrist practicing in Worcester, MA. With approximately 5 years of clinical experience since completing medical education in 2021, Dr. Altabtabaee delivers high-quality medical care to the local community at 55 LAKE AVE N.

Dr. Altabtabaee is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083345500
Fax 5083343408
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Worcester, MA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -10.7 yrs vs City Avg
City Avg: 15.7 Yrs
State Avg: 30.6 Yrs
Regional Practice Density
19 Specialists

Practicing in Worcester, MA (308 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Altabtabaee (5 Years) 5 Yrs
Worcester Specialty Average (15.7 Years) 15.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
37 32 $300.00 $65.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
30 30 $547.00 $132.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
29 29 $359.00 $81.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 22 $445.00 $96.58
11042 Removal of skin and tissue, 20.0 sq cm or less
20 14 $567.80 $60.32
11721 Removal of fingernails or toenails, 6 or more nails
19 19 $187.00 $23.22

Medical Specialties & State Licenses

CMS Verified: 2024-09-05
Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License MA PDF2560

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Podiatrist

NUCC Taxonomy Code: 213E00000X

State License OH 59.000894

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Podiatrist - Foot Surgery

NUCC Taxonomy Code: 213ES0131X

State License MA PDF2560

Definition to come...

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Secondary Practice Locations

2351 E 22nd St

Cleveland, OH 441153111

Phone: 2168616200

119 Belmont St

Worcester, MA 016052903

Phone: 5083345500

Practice Associates & Co-Workers

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

14 Associated Practitioners
Marie Gut , PA-C

Physician Assistant

NPI 1003960469

Physician Assistant (Certified)

NPI 1033405741

Doctor of Podiatric Medicine

Jessica Noga

Physician Assistant

NPI 1194353219
Dr. Raymond Smith , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1235125469

Doctor of Medicine (M.D.)

Dr. Walter Leclair , MD

Orthopaedic Surgery

NPI 1417931544

Doctor of Medicine (M.D.)

Claudine Arsenis , NP

Nurse Practitioner

NPI 1437117348

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 05, 2024

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083345500)

📍
Updated Business Mailing Address September 05, 2024

Registered at PO BOX 415348, BOSTON, MA 022415348

NPI Profile Active May 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 26, 2021

Registered at 2351 E 22ND ST, CLEVELAND, OH 441153111 (Tel: 2168616200)

📍
Updated Business Mailing Address May 26, 2021

Registered at 2351 E 22ND ST, CLEVELAND, OH 441153111 (Tel: 2168616200)

👤
Provider Name / Credentials Updated May 26, 2021

Recorded as RUSSL ALTABTABAEE, DPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2021

Podiatrist (License #59.000894 in OH)

🟢
Initial NPI Registration & Enumeration May 26, 2021

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: 1528633096
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2021
Last Update: September 05, 2024
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

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.