Active NPI 1376528323 Individual Practitioner Male Practitioner

Dr. Philip J. Lahey , MD

Specialist • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Dr. Philip Lahey, MD is a registered healthcare professional specializing in Specialist in Worcester, MA. Practice services are available at 59 QUINSIGAMOND AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, 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

59 Quinsigamond Ave

Worcester, MA 016101806

Telephone 5087551559

Fax 5087555640

Associated Practice Facility / Clinic

🏢 Worcester County Orthopedics Facility NPI 1396720348

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Worcester, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 45.8 Yrs

State Avg: 37.9 Yrs

Regional Practice Density

42 Specialists

Practicing in Worcester, MA (1181 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$145.00	$78.30
20610 Aspiration and/or injection of fluid from large joint	34	21	$185.00	$60.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$210.00	$112.33
73560 X-ray of knee, 1-2 views	17	14	$95.00	$35.23
73565 X-ray of both knees while standing	14	14	$90.00	$40.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	260	160	$145.00	$77.82
20610 Aspiration and/or injection of fluid from large joint	204	98	$185.00	$57.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$210.00	$113.56
73560 X-ray of knee, 1-2 views	94	76	$92.80	$33.38
73565 X-ray of both knees while standing	89	85	$88.99	$38.91
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	67	18	$250.00	$78.13
73502 X-ray of hip, 2-3 views	35	28	$76.97	$44.52
73030 X-ray of shoulder, minimum of 2 views	30	25	$85.00	$32.14
72100 X-ray of lower and sacral spine, 2-3 views	16	15	$93.75	$36.55
73562 X-ray of knee, 3 views	13	12	$90.00	$39.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	219	142	$145.00	$74.92
20610 Aspiration and/or injection of fluid from large joint	189	96	$185.00	$59.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$210.00	$112.13
73560 X-ray of knee, 1-2 views	119	99	$94.07	$32.26
73565 X-ray of both knees while standing	92	89	$89.02	$37.09
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	37	13	$250.00	$84.17
73502 X-ray of hip, 2-3 views	26	23	$80.00	$43.86
73030 X-ray of shoulder, minimum of 2 views	23	19	$85.00	$31.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$205.00	$107.31
27447 Replacement of knee joint, both sides of knee	11	11	$5589.00	$1443.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	180	127	$145.00	$72.43
20610 Aspiration and/or injection of fluid from large joint	155	93	$185.00	$56.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$210.00	$108.52
73560 X-ray of knee, 1-2 views	98	75	$94.21	$31.41
73562 X-ray of knee, 3 views	36	31	$90.00	$37.03
73502 X-ray of hip, 2-3 views	26	23	$73.37	$40.00
73030 X-ray of shoulder, minimum of 2 views	19	17	$89.47	$30.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$205.00	$109.06
72100 X-ray of lower and sacral spine, 2-3 views	15	14	$88.67	$32.12
27447 Replacement of knee joint, both sides of knee	12	12	$5589.00	$1383.35

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA 37790

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2065908 (MA)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Christopher Vinton , MD

Orthopaedic Surgery

NPI 1104850528

Doctor of Medicine (M.D.)

Seth Brawer , PA-C

Physician Assistant - Surgical

NPI 1811313513

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 11, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 11, 2012

Registered at 59 QUINSIGAMOND AVE, WORCESTER, MA 016101806 (Tel: 5087551559)

📍

Updated Business Mailing Address January 11, 2012

Registered at 59 QUINSIGAMOND AVE, WORCESTER, MA 016101806 (Tel: 5087551559)

👤

Provider Name / Credentials Updated January 11, 2012

Recorded as PHILIP LAHEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2012

Specialist (License #37790 in MA)

🟢

Initial NPI Registration & Enumeration December 13, 2005

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: 1376528323

Entity Type:

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

Enumeration Date: December 13, 2005

Last Update: January 11, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

59 Quinsigamond Ave

Worcester, MA 016101806

Phone: 5087551559

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.