Quality Score
63
Tap to see breakdown ▾
Availability
90%
Likely Accepting New PatientsInsurance Accepted
11 of 22 plansCommercial Plans
✓Harvard Pilgrim Health Care
✕Blue Cross Blue Shield of MA
✓Tufts Health Plan
✕Mass General Brigham Health Plan
✕Health New England
✕Fallon Health
✓UnitedHealthcare
✓Aetna
✓Cigna
MassHealth Plans
✕MassHealth PCC Plan
✕Tufts Health Together
✓WellSense Health Plan
✕Fallon Health MassHealth
✕Community Care Cooperative (C3)
✕Be Healthy Partnership (HNE)
Medicare Plans
✓Original Medicare
✕Tufts Medicare Preferred
✓BCBS Medicare Advantage
✓Fallon Medicare Advantage
✓UnitedHealthcare Medicare Advantage
✓Aetna Medicare Advantage
✕Humana Medicare Advantage
Insurance participation is sourced from insurer Transparency in Coverage files and may not reflect recent network changes. Always verify coverage with the practice and your insurer before scheduling.
Positive Scoring Signals
✓ Provides transitional care management✓ Accepts Medicare assignment✓ Primarily outpatient focused
Practice Information
Practice / OrganizationCongenial Healthcare Llc
Practice TypeGroup Practice
Address1 Walton St., Wakefield, MA 01880
Accepting New PatientsYes
License & Credentials
License StatusActive
License Number71487
License Expires2028-04-25
CMS VerificationAWV-Verified
Malpractice & Disciplinary Record
Malpractice Claims✓ None on record
Disciplinary Actions✓ None on record
Education & Training
Medical SchoolNot disclosed
Residency / TrainingMethodist Hospital Brooklyn NY — Training
Training Dates1986-07-01 – 1989-06-30
Years in Practice42 years — Highly experienced
NPI: 1669447298 · Quality score calculated from a mix of public physician and payor data, combined with proprietary variables