Dr. Philip Cefalo, MD
Boston Medical Center, 1 Boston Medical Center Place, Boston, MA 02118 • +1-425-555-3929
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Boston Percentiles
NPI #1407888936 • CBSA 14460 • Internal Medicine
Statistical peer benchmarking across MA Internal Medicine providers positions Dr. Philip Cefalo, MD in Boston at +0.20σ (91.7th city percentile / 85.99th state percentile, 433 Medicare beneficiaries), with clinical focus spanning 6 Active CMS HCPCS Codes.
Procedural volume for Dr. Cefalo is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 1519 annual services, $162–$222 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 878/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 439/yr).
Direct cash-pay transparency modeling sets Dr. Cefalo's baseline new-consult rate near $227.00 in Boston, MA (cash-pay accepted, in-person clinic visits only, 12-minute average reception wait).
Patients evaluating Dr. Philip Cefalo in ZIP 02118 note 16 years of post-doctoral tenure (null, 2010) alongside 7.8 annual CMS procedures per patient.
Top 10% Internal Medicine volume leader in Boston, MA
3,375 annual services across 433 beneficiaries
Standard deviations from MA Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 1,519 | 91.7th | $162 – $222 |
| 99213 | Established Preventive & Chronic Care Visit | 878 | 94.7th | $124 – $170 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 439 | 90.7th | $59 – $81 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 338 | 87.7th | $190 – $260 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 203 | 87.7th | $225 – $309 |
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Dr. Philip Cefalo, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cefalo National Provider Identifier | NPI #1407888936 (MD) | CMS NPPES Registry (02118) |
| Dr. Cefalo Boston CMS Volume Rank | 91.70th Pct (3,375 CMS svcs; Z +0.198σ) | CMS Medicare Part B (MA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $227.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Boston, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $227.00 avg paid • 12 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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