Business phone system for physician practices in Massachusetts
2,562 physician practices operated in Massachusetts in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 2,562CBP 2023
- Employees
- 55,966mid-March 2023
- Per 100k residents
- 35.9U.S. 60.2
- State rank
- 25th of 51by count
The medical practice industry in Massachusetts
Massachusetts had 2,562 physician practices in 2023, according to Census County Business Patterns (NAICS 621111, Offices of Physicians (except Mental Health Specialists)). They employed 55,966 people in mid-March and reported $8.0 billion in annual payroll. That is the 25th highest count among the 51 states and DC with published figures. Physician practices make up 1.4% of the 183,767 business establishments in the state.
Per 100,000 residents (2024 estimate) Massachusetts has 35.9 physician practices, 40.3% below the national rate of 60.2. The average establishment has 21.8 employees against 13.2 nationally. Payroll per employee is $143,189, 35.5% above the U.S. figure of $105,652.
| Measure | Massachusetts | United States |
|---|---|---|
| Establishments | 2,562 | 204,617 |
| Mid-March employees | 55,966 | 2,706,297 |
| Annual payroll | $8,013,728,000 | $285,925,593,000 |
| Employees per establishment | 21.8 | 13.2 |
| Payroll per employee | $143,189 | $105,652 |
| Establishments per 100,000 residents | 35.9 | 60.2 |
Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.
Physician practices by metro area in Massachusetts
Census published medical practice counts for 9 metro or micropolitan areas that include part of Massachusetts. The largest is Boston, MA-NH, with 1,974 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 27% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Boston, MA-NH | 1,974 | 39,098 | 39.3 |
| Providence, RI-MA | 702 | 12,598 | 41.3 |
| Worcester, MA | 322 | 8,133 | 36.5 |
| Springfield, MA | 156 | 4,502 | 33.6 |
| Barnstable Town, MA | 97 | 1,671 | 41.7 |
| Amherst Town, MA | 52 | 1,304 | 31.4 |
| Pittsfield, MA | 43 | 837 | 33.4 |
| Greenfield, MA | 8 | 56 | 11.3 |
| Nantucket, MA | 4 | 20 | 27.3 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at physician practices in Massachusetts
39.2% of Massachusetts's physician practices with employees had fewer than five people in March 2023, compared with 52.7% nationally. 60.0% had fewer than ten. At that size the phone is shared, so routing (who rings, when, and what happens after hours) matters more than the number of desk phones.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 1,003 | 39.2% | 52.7% |
| 5–9 employees | 533 | 20.8% | 18.7% |
| 10–19 employees | 485 | 18.9% | 14.7% |
| 20–49 employees | 380 | 14.8% | 9.8% |
| 50 or more employees | 159 | 6.2% | 4.2% |
Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.
What physician practices in Massachusetts use the phone for
Physician offices field a steady stream of scheduling, prescription refill and test-result calls, and the same few staff members usually answer all of them. Routing calls to the right person and capturing clear messages keeps the waiting room and the phone lines moving.
Calls a medical practice in Massachusetts might handle in a typical week include:
- A pharmacy calls to clarify a medication order.
- A patient calls to request a prescription refill.
- A hospital discharge planner calls to schedule a follow-up visit.
Texting patients
Practices typically text appointment reminders, arrival instructions and requests to call the office, keeping clinical details for secure channels.
Texting from a local number in Massachusetts requires carrier registration (10DLC), a one-time $49 fee on Callata.
Callata vs. per-seat pricing for physician practices in Massachusetts
Physician practices in Massachusetts average 21.8 employees, so the comparison uses a 22-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 22 users on RingCentral RingEX Core cost $660.00 a month and 22 on Ooma Office Pro cost $548.90. Callata comes to $439.00 a month for 22 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $2,652 less than RingCentral for a medical practice in Massachusetts of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.
| Provider (plan) | Pricing basis | Per month | Per year |
|---|---|---|---|
| Callata (Callata Office) | $99 incl. 5 users, $20 per extra user | $439.00 | $5,268.00 |
| Quo (Starter) | $19.00 per user | $418.00 | $5,016.00 |
| Nextiva (Core) | $23.00 per user | $506.00 | $6,072.00 |
| Ooma (Office Pro) | $24.95 per user | $548.90 | $6,586.80 |
| Dialpad (Standard) | $27.00 per user | $594.00 | $7,128.00 |
| RingCentral (RingEX Core) | $30.00 per user | $660.00 | $7,920.00 |
Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.
Area codes in Massachusetts
Massachusetts has 9 geographic area codes in service according to NANPA. Callata includes up to 3 local numbers, so a medical practice can hold a number in more than one of them.
| Area code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 978 | 773 | Eastern | 1997 | 351 |
| 781 | 769 | Eastern | 1997 | 339 |
| 617 | 768 | Eastern | 1947 | 857 |
| 508 | 749 | Eastern | 1988 | 774 |
| 413 | 602 | Eastern | 1947 | none |
| 774 | 524 | Eastern | 2001 | 508 |
| 857 | 362 | Eastern | 2001 | 617 |
| 339 | 104 | Eastern | 2001 | 781 |
| 351 | 92 | Eastern | 2001 | 978 |
Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.
How Callata works for physician practices in Massachusetts
For $99 a month, Callata puts a team of up to 5 on one plan ($20 for each person after that): up to 3 local numbers, unlimited inbound calls, a pooled allowance of 1,500 outbound US and Canada minutes per user, browser and cell calling, voicemail transcription with urgency triage, recorded calls with AI summaries and business-hours routing, with E911 on every number.
Porting a number you already use in Massachusetts is free, and business texting is available once the carrier registration (10DLC) is approved; the registration carries a one-time $49 fee. Which specific numbers are open in a given area code depends on carrier inventory at the time you sign up.
AI agents are optional: an AI receptionist or scheduler can pick up when the team is busy or closed, take a message, send a text or email, or transfer the call. They draw on prepaid AI minutes ($0.25/minute), disclose that they are AI, and outbound AI calls require prior consent and are limited to 8am–9pm.
Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.
Frequently asked questions
How many physician practices are in Massachusetts?
2,562 in 2023, according to Census County Business Patterns. They employed 55,966 people in mid-March.
Which Massachusetts metro area has the most physician practices?
Boston, MA-NH, with 1,974 establishments in 2023.
What does a phone system cost a 22-person medical practice?
$660.00 a month on RingCentral RingEX Core or $548.90 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $439.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a Massachusetts number?
Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.