Carmi Punzalan, M.D.
NPI 1053584037 · Gastroenterology Physician · Burlington, MA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carmi Punzalan, M.D. is a Gastroenterology Physician provider in Burlington, MA (NPI 1053584037).
Provider details
- NPI number
- 1053584037
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 262302 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
467 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 171 | $148 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 149 | $124 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 37 | $181 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 34 | $187 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 24 | $100 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ursodiol | 174 | 48 |
| Rifaximinbrand: Xifaxan | 144 | 24 |
| Tacrolimus | 137 | 49 |
| Carvedilol | 135 | 45 |
| Spironolactone | 108 | 35 |
| Furosemide | 106 | 30 |
| Lactulose | 68 | 24 |
| Mycophenolate Mofetil | 67 | 22 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,399 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-10
- Last updated
- 2018-06-15
Frequently asked questions
- What is Carmi Punzalan's NPI number?
- Carmi Punzalan's National Provider Identifier (NPI) is 1053584037, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carmi Punzalan's specialty?
- Carmi Punzalan is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Carmi Punzalan located?
- Carmi Punzalan's practice location on file with NPPES is 41 Mall Road, Burlington, MA 01805.
- What is Carmi Punzalan's phone number?
- The practice phone number listed in the NPPES registry for Carmi Punzalan is (781) 744-8000.
- Does Carmi Punzalan accept Medicare?
- Carmi Punzalan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carmi Punzalan's NPI active?
- Yes — Carmi Punzalan's NPI (1053584037) is active in the NPPES registry as of the last update on 2018-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.