Individual provider Active NPI

Donald A Driscoll Jr., M.D.

  • Orthopaedic Surgery Physician
  • Concord, MA
National Provider Identifier
1013983907
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
51253 Issued in MA
Practice address
54 Baker Avenue Ext
Suite 200
Concord, MA 01742-2137
Phone
(978) 369-5391
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 51253 MA Primary

Addresses

Primary practice location

54 Baker Avenue Ext
Suite 200
Concord, MA 01742-2137

Mailing address

54 Baker Avenue Ext
Suite 200
Concord, MA 01742-2137
Phone (978) 369-5391

Other identifiers 1

IdentifierTypeStateIssuer
200010503OtherMARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050325000319 MA Practitioner - Orthopedic Surgery 6305892027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tufts University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Affiliates IncGroup PAC ID 6103844261, 18 clinicians

Practice addresses (Care Compare)

54 Baker Ave Ext
Suite 200
Concord, MA 01742-2137
Phone (978) 369-5391

Hospital & facility affiliations

  • Emerson Hospital Home Care Program Home health agency, Concord, MA, CCN 227072
  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement14
Lower limb (leg) arthroscopy (minimally invasive joint repair)15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Affiliates Inc Orthopaedic Surgery CurrentSince Jul 13, 1983 Accepting new patients
Orthopedic Affiliates, Inc. Orthopaedic Surgery CurrentSince Jul 13, 1983 Accepting new patients
Emerson Hospital Current Accepting new patients
North Bridge Podiatry Group, P.C. Past Accepting new patients

Locations

54 Baker Avenue Ext
Ste 200
Concord, MA 01742
Phone (978) 369-5391

133 Littleton Rd
Ste 205
Westford, MA 01886
Phone (978) 692-9978

133 Littleton Rd
Ste 104
Westford, MA 01886
Phone (978) 369-2665

Interoperability endpoints

  • Direct secure messaging: driscoll.donald.epho@direct.partners.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1013983907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT",
            "address_2": "SUITE 200",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422137",
            "telephone_number": "978-369-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT",
            "address_2": "SUITE 200",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422137",
            "telephone_number": "978-369-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "DONALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "51253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200010503",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.