Dr. Phillip Gendelman, MD
172 Cambridge St, Burlington, MA 01803 • +1-573-555-7314
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Burlington Percentiles
NPI #1427054576 • CBSA Regional • Ophthalmology
Dr. Phillip Gendelman, MD (NPI #1427054576) practices Ophthalmology in Burlington, MA (01803) with sub-specialty concentration in 21 Active CMS HCPCS Codes, recording 6,165 annual CMS services across 1,278 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (75th Burlington percentile) (-0.04σ vs MA state mean, 78.28th statewide percentile).
Fee-schedule auditing of NPI 1427054576 highlights 2281 annual claims for 92014 (75th Burlington percentile; $131–$180 self-pay corridor) plus 1603 encounters under 92134 and 1048 under 92083.
Direct cash-pay transparency modeling sets Dr. Gendelman's baseline new-consult rate near $224.00 in Burlington, MA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 19-minute average reception wait).
From 172 Cambridge St in Burlington (+1-573-555-7314), Dr. Gendelman, MD (18-year clinical track record) delivers 21 Active CMS HCPCS Codes care.
Compared against Burlington, MA Ophthalmology peers
6,165 annual services across 1,278 beneficiaries
Standard deviations from MA Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 2,281 | 75th | $131 – $180 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 1,603 | 80th | $72 – $99 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 1,048 | 75th | $87 – $119 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 740 | 76th | $158 – $216 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 493 | 80th | $578 – $792 |
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Dr. Phillip Gendelman, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gendelman National Provider Identifier | NPI #1427054576 (MD) | CMS NPPES Registry (01803) |
| Dr. Gendelman Burlington CMS Volume Rank | 75.00th Pct (6,165 CMS svcs; Z -0.035σ) | CMS Medicare Part B (MA Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Burlington, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 19 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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