Dr. Michael Pincus, DO
41 Mall Rd, Lahey Clinic, Burlington, MA 01805 • +1-697-555-7646
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Burlington Percentiles
NPI #1376741785 • CBSA Regional • Rheumatology
CMS Medicare Part B utilization records credit Dr. Michael Pincus (DO, NPI 1376741785) at 41 Mall Rd, Lahey Clinic in Burlington with 1,001 annual clinical services (384 beneficiaries), corresponding to a -0.46σ regional deviation and mid-cohort balanced caseload (42.86th Burlington percentile) with sub-specialty concentration in 21 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1376741785 highlights 460 annual claims for 99214 (42.86th Burlington percentile; $176–$241 self-pay corridor) plus 210 encounters under 20610 and 150 under 96413.
For out-of-network patients contacting +1-697-555-7646, Dr. Pincus's practice posts a $224.00 GPCI self-pay consult estimate ($224.00 patient-logged median, 4.65/5 composite reality score over 24 submissions).
NPI registry verification (#1376741785) confirms Dr. Michael Pincus's DO standing serving CBSA 01805 with a 4.65/5 patient scorecard.
Compared against Burlington, MA Rheumatology peers
1,001 annual services across 384 beneficiaries
Standard deviations from MA Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 460 | 42.86th | $176 – $241 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 210 | 44.86th | $139 – $190 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 150 | 39.86th | $241 – $331 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 100 | 42.86th | $183 – $251 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 80 | 44.86th | $241 – $331 |
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Dr. Michael Pincus, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pincus National Provider Identifier | NPI #1376741785 (DO) | CMS NPPES Registry (01805) |
| Dr. Pincus Burlington CMS Volume Rank | 42.86th Pct (1,001 CMS svcs; Z -0.458σ) | CMS Medicare Part B (MA Rheumatology) |
| 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 • 22 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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