Individual provider Active NPI

Mikala Vertovec, PA-C

  • Physician Assistant
  • Hingham, MA
National Provider Identifier
1346941382
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9575 Issued in MA
Practice address
2 Pond Park Rd Ste 102
Hingham, MA 02043-4354
Phone
(781) 337-5555
Fax
(781) 335-6047
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9575 MA Primary

Addresses

Primary practice location

2 Pond Park Rd Ste 102
Hingham, MA 02043-4354

Mailing address

71 Border Rd Ste 300
Waltham, MA 02451-1044

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915000170 MA Practitioner - Physician Assistant 1254795842 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Orthopedics LLCGroup PAC ID 7517057284, 37 clinicians
Northeast Orthopaedic Alliance PLLCGroup PAC ID 5991149809, 288 clinicians

Practice addresses (Care Compare)

2 Pond Park Rd
Suite 102
Hingham, MA 02043-4354
Phone (781) 337-5555

360 Brockton Ave
Suite 101
Abington, MA 02351-2186
Phone (781) 337-5555

Hospital & facility affiliations

  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Merit-based Incentive Payment System (MIPS)

Final score
76.46 of 100Reported as group
Quality
72.66
Promoting interoperability
92
Improvement activities
40
Cost
55.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Orthopedics, LLC CurrentSince Aug 15, 2023 Accepting new patients
Northeast Orthopaedic Alliance PLLC Past Accepting new patients

Locations

360 Brockton Ave
Ste 101
Abington, MA 02351
Phone (781) 337-5555

2 Pond Park Rd
Ste 102
Hingham, MA 02043
Phone (781) 337-5555

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 1

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": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1346941382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BORDER RD STE 300",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 POND PARK RD STE 102",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434354",
            "telephone_number": "781-337-5555",
            "fax_number": "781-335-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERTOVEC",
        "first_name": "MIKALA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA9575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.