Welcome to Needham Pediatrics

Located in the heart of Needham, Massachusetts, Needham Pediatrics is a primary care pediatric practice for patients from birth through 20 years of age.

We would like to welcome you to our brand new website! We have added some exciting new features for our patients, including a link to the AAP Patient Education Libraryto allow you to find useful information to help you care for your child!

If you are new to us, we welcome you to explore this website to learn more about Needham Pediatrics. Please do not hesitate to contact us by telephone if you wish to join our practice. It will be our pleasure to serve you!








What's New

Update on COVID Vaccination for Patients 6months-4years

As you likely know, the FDA and CDC have approved COVID vaccination for young children and recommend that patients 6 months and older now be vaccinated.

At Needham Pediatrics, we have placed an order with the State DPH for vaccine for the 6 months through 4 years old age group. As soon as our order arrives, we will begin scheduling clinics. For these young patients, we will have the Moderna vaccine, which currently requires two doses separated by at least 28 days (recommended range of 4-8 weeks). 

We do recommend that our young patients be vaccinated. While it is true that COVID infection is typically mild in young children, there are rare exceptions, with some cases leading to hospitalization and even death. Furthermore, protecting your child will likely reduce the likelihood of spread to parents, grandparents, or other vulnerable family members. The safety profile of COVID vaccines has been excellent. While it is true that we do not yet have abundant data for these young children, the experience with older children and adults gives us good reason to be optimistic. In virtually every case, the risks of complications from COVID infection outweigh the very small risks of vaccination.

We are aware of no advantage to intentionally delaying vaccination till later in the summer or the fall. We recommend getting your child vaccinated soon.

We plan to schedule COVID vaccination clinics dedicated to providing this vaccine for our young patients. We will provide further information as soon as we're able to proceed.

Information Regarding Allergies 

Hi everyone. Seasonal allergies are hitting hard right now, and we are hearing from many families suffering from the high pollen counts. Included below are some links to a few helpful tip sheets from healthychildren.org about seasonal and other environmental allergens. Let us know if you have additional questions or concerns, but please be advised that our call volumes and MyChart message volumes are much higher than normal currently. We will absolutely get back to you but turnaround times are a little longer currently given this uptick in volume. We hope these links can provide some helpful information as well. Thanks!

https://www.healthychildren.org/.../Seasonal-Allergies-in...

https://healthychildren.org/.../Pages/Hay-Fever-Help.aspx

https://healthychildren.org/.../Pages/AAP-Allergy-Tips.aspx

Updates in COVID Guidance

Hi everyone. The CDC recently announced changes to current guidelines for quarantine following an exposure or a positive test result, which have also now been adopted by the Massachusetts Department of Health. The information regarding this update is included below to aid as a review. Our phone nurses have been receiving a very large call volume recently regarding COVID exposures and positive tests. This is resulting in longer than normal wait times to receive a call back. We hope reviewing the information below may help answer common questions about quarantine, but you can always call the office if you have further questions or concerns.
EXPOSURE
  • Close contact definition: Someone who was less than 6 feet away from an infected person (laboratory-confirmed or a clinical diagnosis) for a cumulative total of 15 minutes or more over a 24-hour period. For example, three individual 5-minute exposures for a total of 15 minutes.
  • For people who are unvaccinated or are more than six months out from their second mRNA dose (or more than 2 months after the J&J vaccine) and not yet boosted, CDC now recommends quarantine for 5 days followed by strict mask use for an additional 5 days.
  • Testing day 5 after exposure is recommended. (Day 0 is the day of exposure).
  • If you develop symptoms at any time during the 10 days after exposure, you should immediately isolate until you have a COVID test confirming you are negative. If positive follow guidelines below.
  • Individuals who have received their booster shot do not need to quarantine following an exposure but should wear a mask for 10 days after the exposure and test on day 5 if possible.
POSITIVE TEST
  • People who test positive (PCR or home test) should isolate for 5 days and, if no symptoms on day 5 (and at least 24 hours fever free), they may leave isolation if they can continue to mask for 5 additional days to minimize the risk of infecting others. If symptoms are present at day 5, isolation period remains 10 days
    • For children unable to wear a mask the isolation period remains 10 days.
FOR MORE INFO CLICK THE LINK BELOW TO OUR COVID-19 GUIDELINES AND FAQ PAGE

Fall Newsletter

Hi everyone. With school back in session, we are all ready for the fall. Here are some office updates:

1) Flu Vaccine: Flu vaccine has arrived. You can call the front desk to schedule an appointment for a flu clinic visit for your child. Your child may also receive the vaccination at any upcoming office visit or well child check. Siblings can tag along to these visits for flu vaccination, but please notify the front desk in advance so we can schedule any add-on vaccination visits appropriately.

2) COVID Testing: We continue to send all COVID testing for symptomatic patients and asymptomatic, exposed patients to Boston Children’s Hospital (BCH) with average turnaround time typically around 24hrs. We are now using Quest Laboratories for travel testing/school entry testing with turnaround time between 1-3 days.
3) Appointment Availability: We are planning to increase our capacity for same day sick visits this fall and winter. Due to the potential for very high demand for office visits during this time, we may not always be able to guarantee these same day sick visits on very busy days, especially for less urgent matters. In cases where our schedule is full, we can typically offer you an appointment on the following day. More urgent medical concerns are always triaged by our phone nurse team, so they can be appropriately addressed in a timely manner - either booking an appointment at our office or referring to the emergency department if needed.
4) MyChart: Please remember to only send non-urgent messages via the MyChart messaging application. This application is not to be used for any same day/urgent issues. We recommend you call our phone nurse line for any of these types of concerns that require a faster response time.
5) Telehealth: We continue to offer telehealth services within our practice. We wanted to make sure everyone is aware that insurance carriers may soon be making changes to your coverage for telehealth services. Please check with your individual insurer for any updates in your coverage prior to booking a telehealth appointment. Additionally, due to changes in state and federal regulations, we are now more limited in our ability to provide out-of-state telehealth care for both medical and behavioral health visits. Our front desk staff may review your location status prior to booking any telehealth appointment to make sure we are in compliance with these statutes.
6) Behavioral Health: We have hired another behavioral health clinician to our team, Parker Monks, LICSW. She can provide both in-person and virtual behavioral health support to our patients and families. Please contact us if you are interested in learning more about scheduling an appointment with Parker. We are very proud to now have four behavioral health clinicians working at Needham Pediatrics, as we know how valuable their services are to our community!
Thanks for reading. As always, feel free to reach out if you have any questions or concerns.

Billing Update regarding Telehealth and COVID Testing Visits

Hi everyone. We want to share some information about how we bill for care at Needham Pediatrics, specifically regarding some changes that have arisen during the COVID pandemic.

Telehealth Visits
During the COVID-19 pandemic, we quickly rolled out Telehealth capability, allowing many of our patients to get care remotely if they are unable to come into the office or feel safer being treated remotely. There are two types of telehealth visits: (1) videoconferencing encounters, and (2) audio-only encounters.

We bill both types of telehealth visits to your insurer, just as we would for an in-person visit. During the COVID-19 pandemic, because of a mandate from Governor Baker, insurers have significantly expanded their coverage of telehealth services. In most cases, your insurer will provide coverage for these visits in the same manner that they cover in-office visits. Telehealth encounters may be subject to co-payments or may be applied to your deductible, depending on your insurance plan.

Not all insurers are treating Telehealth visits in the same manner. If you are unsure about the specifics of your coverage for these visits, we suggest you contact your insurer. You are also free to contact our Billing team if you have questions regarding a bill you received from us.

Nursing Visits for COVID Testing

Patients who need COVID tests can have the tests done at Needham Pediatrics. Symptomatic patients or asymptomatic patients with an exposure will typically be given an appointment with our doctors or nurse practitioner for a clinical evaluation and for testing, if indicated. These visits will be billed with an "evaluation and management" or E/M code, as is standard for any "sick visit" in our office.

Asymptomatic patients without an exposure can have a COVID test done via a nurse visit, without needing to be seen by one of our providers. This type of visit is appropriate for asymptomatic patients who need testing because of travel, school, or an extracurricular activity.

Nurse visits for COVID testing will generate a billing charge from us. For these visits, we use a specific nurse-only billing code (E/M code of 99211). This charge is meant to cover our office costs associated with staff time, utilization of personal protective equipment (PPE), testing supplies, and cleaning of examination rooms before and after your visit. In most cases your insurance will cover this charge, but depending on your insurance plan, deductibles or co-pays may apply. If you are unsure about the specifics of your insurance coverage, you should contact your insurer.

Currently, we send all our swabs for COVID-19 testing to either BID-Needham or Quest Laboratories. The labs will also generate a charge for performing the COVID test, separate from our office charge. In most cases, your insurance will cover this charge; again, co-pays and deductibles may apply.

Please feel free to contact us if you have any questions.

Needham Pediatrics Welcomes Dr. Kailyn McDermott

Needham Pediatrics is very excited to introduce Dr. Kailyn McDermott! Dr. McDermott will be joining our practice towards the end of July 2020, and she will be working Wednesdays and Fridays. She is accepting new patients. Please contact our office if you would like to book an appointment with her.

Coronavirus Update June 2020

At Needham Pediatrics, we are committed to providing safe and outstanding medical care. There are new guidelines in place promulgated by the Centers for Disease Control, Occupational Safety and Health Administration, and the Commonwealth of Massachusetts to protect patients and staff as best we can during this reopening phase and beyond.

Some of these organizational changes include:

· Thorough screening questions for all patients and their household contacts prior to the visit

· Anyone over the age of two is required to wear a face covering when entering the office

· Patients will continue to complete check-in from their cars on arrival and will be roomed directly from the parking lot

· We are managing appointments to keep sick and well visits separate as much as possible

· We prefer only one caregiver accompany your child for each visit

· Appointments are best handled by phone. Copays may be made via MyCharts in addition

· Individual exam rooms are cleaned and disinfected between every encounter

We are continuing to offer in-person and virtual appointments for both well and sick visits. Sick visits will be triaged in order to assess the optimal way we can address each issue, whether it be via telehealth or in-office care.

We look forward to seeing you and appreciate all of your support over the past few months. Please do not hesitate to reach out to the office with any questions or concerns. We hope everyone stays safe and healthy heading into the summer. 

Coronavirus Update March 20, 2020

As you are well aware, COVID-19 now is classified as a pandemic, spread worldwide, including many cases in the Boston area. Around 300 people have been diagnosed in Massachusetts, but most likely the actual number of infections is much higher.

Based on what we know so far, children are at low risk for complications of COVID-19. Middle aged and elderly people account for the great majority of serious cases. So, even if your child does acquire COVID-19, the illness will most likely be a minor flu-like illness which can be easily managed with routine care. Rarely, children will be hospitalized with pneumonia. Serious complications (requiring ICU care, for instance) are very rare in children.

In most cases, if your child has fever and cough but appears well, it is appropriate to manage with simple supportive care (rest, fluids, and fever control). If your child is younger than 2 years of age, or if fevers persist beyond a couple of days, it would be appropriate to contact us to consider an office evaluation. If your child appears to have trouble breathing or significant lethargy or significant dehydration, please do contact us immediately. In most such cases, we would refer you to the Emergency Department.

Because of the concern for COVID-19, many patients prefer not to come into our office for routine care. In some cases (but not all), we may be able to manage your concern via a Telehealth (or "virtual" visit). Please contact our office if you feel you need a virtual visit, an we can help you make arrangements.

Here are some links to the CDC and Massachusetts DPH for reliable information about COVID-19.


https://www.cdc.gov/coronavirus/2019-ncov/index.html

https://www.mass.gov/resource/information-on-the-outbreak-of-coronavirus-disease-2019-covid-19

Reader's Choice Winner 2018!

Thanks to our patients for voting us Needham's favorite for Primary Care Physician in the 2018 Wicked Local Readers' Choice Award. Thanks also for voting us Blue Ribbon winner for best doctors in Needham in Hometown Weekly Newspapers. We appreciate these recognitions and look forward to continuing to meet your needs in the coming year!

 

Our Affiliations

We are proud to be members of the PPOC, and to be affiliated with Boston Children's Hospital and Newton-Wellesley Hospital.

  


The Providers at Needham Pediatrics

Our pediatricans and nurse practitioners

Needham Pediatrics is staffed by 8 board-certified pediatricians and 1 pediatric nurse practitioner. Our clinical staff also includes three behavioral health specialists, a pediatric nutritionist, and 15 registered nurses. You can learn more about our team here.

New Patients

If you are interested in joining Needham Pediatrics as a new patient, you may inquire by telephone at 781-444-7186

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Contact Us

Needham Pediatrics

145 Rosemary Street, Entry K
Needham, MA 02494

By telephone:
Main Office Number: (781) 444-7186
Business Office: (781) 444-7190

  • Referral Line: Press '1'
  • Billing Questions: Press '3'
  • Office Manager: Press '4'

By secure Email:
If you are a patient at Needham Pediatrics, sign up for our Patient Portaland communicate with us electronically! Link hereto login. Contact our office for details about enrolling.

By Fax:
Fax: (781) 449-4617

Office Hours
Monday: 8:00 AM - 6:00 PM
Tuesday: 8:00 AM - 6:00 PM
Wednesday: 8:00 AM - 6:00 PM
Thursday: 8:00 AM - 6:00 PM
Friday: 8:00 AM - 6:00 PM
Saturday: 8:00 AM - 11:00 AM
Sunday: 8:00 AM - 11:00 AM