Dr. Michael Pincus, DO

  • Burlington, MA
  • Rheumatologist
NPI1376741785PAC ID6305962226
Medicare services, 2024
926
Medicare patients, 2024
384
Part D claims, 2024
3,066
Publications
2
MIPS score, 2024
92
Practice address
41 & 45 Mall Road, Burlington, MA 01803
Practice phone
Call (781) 744-5100
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Lahey Clinic

Hospital · Burlington, Massachusetts

See all 6 affiliations

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Dr. Michael Pincus is a rheumatologist in Burlington, Massachusetts

Dr. Pincus practices at Lahey Clinic in Burlington, Massachusetts, part of Beth Israel Lahey Health.

Dr. Pincus' NPI, 1376741785, was assigned on July 6, 2007. Dr. Pincus graduated from UNE College of Osteopathic Medicine in 2007. Dr. Pincus holds Massachusetts license 243537.

NPI and contact details
Medicare PAC ID
6305962226
NPI enumeration date
July 6, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(781) 744-5100
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
45
Medical school graduation
2007

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Michael Pincus practices at Lahey Clinic in Burlington, Massachusetts

Dr. Pincus' primary practice is Lahey Clinic, at 41 & 45 Mall Road, Burlington, MA 01803 in Middlesex County. The practice phone is (781) 744-5100.

  • Lahey Clinic
    41 & 45 Mall Road, Burlington, MA 01803 · Middlesex CountyPhone(781) 744-5100

Source: Dmand AI Affiliation Data

Dr. Michael Pincus is affiliated with 5 sites of care and 1 medical group

Dr. Pincus' primary practice is Lahey Clinic in Burlington, Massachusetts, part of Beth Israel Lahey Health. Dr. Pincus is also affiliated with Beth Israel Deaconess Medical Center. The medical group on file is Lahey Clinic. Dmand AI also links Dr. Pincus to 3 more hospitals, each named with a free account.

See all 6 affiliations for Dr. Pincus

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Michael Pincus' practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Pincus practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Lahey ClinicAvailable with a free account
+4 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

See the EHR and IT leaders at every hospital where Dr. Pincus practices

Dmand AI maps EHR vendors, IT decision makers and buying committees across Beth Israel Lahey Health and 6.2K+ hospitals, with verified contacts in the same login.

Dr. Michael Pincus is one of 275 rheumatologists in Massachusetts

Rheumatology is Dr. Pincus' primary specialty in the NPI Registry, under taxonomy code 207RR0500X. Dr. Pincus is board certified in internal medicine by the American Board of Internal Medicine. Dr. Pincus is licensed in Massachusetts.

Specialties and state licenses

  • Rheumatology, MassachusettsPrimaryLicense 243537 · taxonomy 207RR0500X

Clinical focus

Dmand AI lists arteritis, arthritis, fluid in a joint, gout, joint arthropathy, joint cyst, joint pain and lupus among the conditions Dr. Pincus treats.

Rheumatologists near Dr. Pincus

Counts of rheumatologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Michael Pincus billed Medicare for 926 services in 2024

CMS data shows 926 Medicare services from Dr. Pincus across 5 procedure codes in 2024, for 384 Medicare patients. Medicare paid $69,731 for them.

Medicare services, 2024926
Medicare patients384
Paid by Medicare$69,731
Procedure codes5

Dr. Pincus' Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 7422024: 741No change
Other services
2023: 02024: 162
Surgery
2023: 482024: 2352%

Where Dr. Pincus' Medicare services took place, 2024

  • In an office27129%
  • In a facility65571%

Dr. Pincus compared with the Massachusetts median for rheumatologists, 2024

  • Dr. Pincus
  • Massachusetts median
Medicare services
926vs 4122.2 times
Medicare patients
384vs 20984% above
Part D claims
2,962vs 5055.9 times

Medians across 268 rheumatologists in Massachusetts with Dmand AI profiles that report each measure.

Dr. Pincus' most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Pincus

Need commercial claims for Dr. Pincus?

Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Pincus and other rheumatologists in Massachusetts.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Michael Pincus treated 384 Medicare patients in 2024, average age 74

CMS counts 384 Medicare patients who saw Dr. Pincus in 2024. The largest group is 65 to 74, with 166 patients. 75% of them have arthritis, and 72% have high blood pressure. 11% are also on Medicaid. Their average risk score is 1.32, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Pincus' median patient age at 70, with 65% women.

Medicare patients, 2024384
Average age74
Average risk score1.32
Also on Medicaid11%

Dr. Pincus' Medicare patients by age, 2024

Dr. Pincus' Medicare patients by sex, 2024

  • Women24965%
  • Men13535%

Chronic conditions among Dr. Pincus' Medicare patients, 2024

  1. Arthritis75%
  2. High blood pressure72%
  3. High cholesterol68%
  4. Osteoporosis33%
  5. Anxiety29%
  6. Chronic kidney disease29%
  7. Mood disorders27%
  8. Depression22%

Share of Medicare patients with each condition. A patient can have several.

Dr. Pincus' patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 70

Patient panel by sex, all payers

  • Women65%
  • Men35%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Michael Pincus wrote 3,066 Medicare Part D claims in 2024

In 2024, Dr. Pincus wrote 3,066 Medicare Part D claims for 443 patients. 86% of them were for generic drugs. CMS names the drug for 2,962 of them, across 40 drugs with 11 or more claims each, at $2,339,063 in total drug cost. In 2023, CMS named 2,873 claims across 37 drugs.

Part D claims, 20243,066
Drugs named by CMS40
Total drug cost$2.3M
Part D patients443

Dr. Pincus' Part D claims by kind of drug, 2024

  • Generic2,631 claims86%
  • Brand-name435 claims14%

Dr. Pincus' most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Pincus' Part D claims, 2024

  • Opioids2%48 of 3,066 claims
  • Antibiotics0%12 of 3,066 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 2,8732024: 2,9623%

Drugs named by CMS: 40 in 2024, 37 in 2023.

See all prescribing by Dr. Pincus

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Michael Pincus scored 92 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 92 out of 100 for Dr. Pincus for performance year 2024, reported through an alternative payment model (APM). Dr. Pincus accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Pincus as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Pincus' MIPS scores, performance year 2024

  • 92of 100Final score
  • 76.6of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Michael Pincus has 2 publications on record

Dmand AI links 2 papers to Dr. Pincus, published from 2013 to 2020. Dr. Pincus' most frequent co-authors are Farid Radmanesh, MD, MPH and Alicia Rodriguez-Pla, MD, MPH, PhD.

Papers2
Years published2013 to 2020

Dr. Pincus' most frequent co-authors

Recent publications by Dr. Pincus

See all 2 publications and co-authors

See who Dr. Pincus researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Pincus works with, so you can find a warm path to the right rheumatologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Michael Pincus received $335 in industry payments from 2018 to 2023

CMS Open Payments shows 5 general payments to Dr. Pincus from 5 drug and device companies from 2018 to 2023. Food and beverage make up the largest share, 100% of the total. Mallinckrodt Hospital Products Inc. paid the most, $116.

General payments to Dr. Pincus by program year, 2018 to 2023

Companies that paid Dr. Pincus the most, 2018 to 2023

Share is of all general payments to this clinician.

See all payments to Dr. Pincus

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Michael Pincus graduated from UNE College of Osteopathic Medicine

Dr. Pincus graduated from UNE College of Osteopathic Medicine in 2007. Dr. Pincus is a member of ACR.

  1. Medical schoolUNE College of Osteopathic Medicine
  2. Board certified in internal medicineAmerican Board of Internal Medicine
  3. Board certified in rheumatologyAmerican Board of Internal Medicine
  4. Board certified in 2010 - 2013CT State License
  5. Board certified in 2018 - 2024FL State License
  6. Board certified in 2010 - 2026MA State License
  7. Board certified in 2024 - 2026NH State License

Source: Dmand AI Professional Profile Data

Dr. Michael Pincus accepts plans from 17 insurance carriers

Dr. Pincus is in network with 17 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Blue Cross Blue Shield of Massachusetts
  • Elevance
  • HCSC
  • Alliant Health Plans
  • Aspirus Health Plan
  • +9 more carriersWith a free account

Plan types Dr. Pincus accepts, by number of carriers

  1. PPO10
  2. HMO8
  3. Medicare7
  4. POS5
  5. EPO4
  6. Medicaid2

Source: Dmand AI Insurance Network Data

Sources for Dr. Michael Pincus's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Michael Pincus

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Michael Pincus' NPI number?

Dr. Michael Pincus' NPI number is 1376741785. It was assigned on July 6, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. Michael Pincus?

Dr. Michael Pincus is a rheumatologist in Burlington, Massachusetts. The primary specialty in the NPI Registry is Rheumatology Physician (taxonomy code 207RR0500X).

Where does Dr. Michael Pincus practice?

Dr. Pincus practices at 41 & 45 Mall Road, Burlington, MA 01803. Dr. Pincus' primary practice is Lahey Clinic in Burlington, Massachusetts, part of Beth Israel Lahey Health. Dmand AI also links Dr. Pincus to 3 hospitals.

What is Dr. Michael Pincus' office phone number?

The practice phone on file for Dr. Pincus is (781) 744-5100.

What is Dr. Michael Pincus' medical license number?

Dr. Pincus holds Massachusetts license 243537.

Which hospitals is Dr. Michael Pincus affiliated with?

Dr. Pincus practices at Lahey Clinic in Burlington, Massachusetts. Dr. Pincus is also affiliated with Beth Israel Deaconess Medical Center. Dmand AI links Dr. Pincus to 3 more hospitals.

What medical group is Dr. Michael Pincus part of?

Dr. Pincus is linked to Lahey Clinic.

Does Dr. Michael Pincus accept Medicare?

Yes. CMS data shows Dr. Pincus billed Medicare for 926 services in 2024, and Dr. Pincus accepts Medicare assignment.

Does Dr. Michael Pincus offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Pincus as offering telehealth services.

What is Dr. Michael Pincus' MIPS score?

Dr. Pincus' MIPS final score for performance year 2024 is 92 out of 100, reported through an alternative payment model (APM).

Show 10 more questionsShow fewer questions

How many Medicare patients does Dr. Michael Pincus see?

CMS counts 384 Medicare patients who saw Dr. Pincus in 2024, with an average age of 74.

Is Dr. Michael Pincus board certified?

Yes. Dr. Pincus is board certified in internal medicine by the American Board of Internal Medicine.

What services does Dr. Michael Pincus bill to Medicare?

In 2024, Dr. Pincus' most billed Medicare services were office visit, established patient (99214), medicare service (G2211) and office visit, established patient (99215).

Where did Dr. Michael Pincus go to medical school?

Dr. Pincus graduated from UNE College of Osteopathic Medicine in 2007.

What drugs does Dr. Michael Pincus prescribe most?

In 2024 Medicare Part D data, Dr. Pincus' most prescribed drugs by claims were Methotrexate, Prednisone and Allopurinol.

Has Dr. Michael Pincus received payments from drug or device companies?

CMS Open Payments shows $335 in general payments to Dr. Pincus from 5 companies from 2018 to 2023. The largest total came from Mallinckrodt Hospital Products Inc.

How long has Dr. Michael Pincus been practicing?

Dr. Pincus graduated from medical school in 2007, 19 years ago.

Does Dr. Michael Pincus do research?

Dmand AI links 2 publications to Dr. Pincus, published from 2013 to 2020.

Who does Dr. Michael Pincus publish with?

Dr. Pincus' most frequent co-authors are Farid Radmanesh, MD, MPH (1 shared paper) and Alicia Rodriguez-Pla, MD, MPH, PhD (1 shared paper).

What insurance does Dr. Michael Pincus accept?

Dr. Pincus is in network with 17 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

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