Dr. John Wallington, MD
110 Liberty St, Brockton, MA 02301 • +1-764-555-3277
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Brockton Percentiles
NPI #1265819577 • CBSA Regional • Physical Medicine and Rehabilitation
Operating out of Brockton, MA (110 Liberty St), Physical Medicine and Rehabilitation clinician Dr. John Wallington, MD (accredited MD/DO training, 2015) maintains a focused low-volume boutique caseload (33.33th Brockton percentile) (63.64th MA percentile; Z-score -0.27σ across 2,196 documented services) with sub-specialty concentration in 51 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Wallington (averaging 5.5 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 34% of tracked volume (752 encounters), paired with 99213 (434x).
Direct cash-pay transparency modeling sets Dr. Wallington's baseline new-consult rate near $224.00 in Brockton, MA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 10-minute average reception wait).
NPI registry verification (#1265819577) confirms Dr. John Wallington's MD standing serving CBSA 02301 with a 4.75/5 patient scorecard.
Compared against Brockton, MA Physical Medicine and Rehabilitation peers
2,196 annual services across 397 beneficiaries
Standard deviations from MA Physical Medicine and Rehabilitation 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 | 752 | 33.33th | $134 – $184 |
| 99213 | Established Preventive & Chronic Care Visit | 434 | 28.33th | $103 – $141 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 217 | 31.33th | $49 – $67 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 167 | 34.33th | $158 – $216 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 100 | 28.33th | $187 – $256 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (51 HCPCS billing breadth) | 526 | 33.33th | $121 – $175 |
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Dr. John Wallington, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wallington National Provider Identifier | NPI #1265819577 (MD) | CMS NPPES Registry (02301) |
| Dr. Wallington Brockton CMS Volume Rank | 33.33th Pct (2,196 CMS svcs; Z -0.266σ) | CMS Medicare Part B (MA Physical Medicine and Rehabilitation) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Brockton, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 10 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.63/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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