MRS. MARGARET ANN MATHEWS-D'AVANZO
NPI 1013160399
Nurse Practitioner - Family in Delray Beach, FL

Active since October 30, 2008PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
4675 LINTON BOULVEARD, 202, DELRAY BEACH, FL 33445(561) 495-5700(561) 495-2020 Get Directions Write a Review

NPPES record last updated: October 30, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Margaret Ann Mathews-d'avanzo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARGARET ANN MATHEWS-D'AVANZO (NPI 1013160399) is an individual family provider in Delray Beach, Florida, licensed in Florida (2157962) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1013160399
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARGARET ANN MATHEWS-D'AVANZO
Location Address4675 LINTON BOULVEARD, 202Delray Beach, FL 33445
Mailing Address4675 Linton Boulveard, 202Delray Beach, FL 33445 · (561) 495-5700 · Fax (561) 495-2020
Fax(561) 495-2020
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 30, 2008
NPI 1013160399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 2157962
4675 LINTON BOULVEARD, Delray Beach, FL 33445

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Margaret Ann Mathews-d'avanzo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901032325
PECOS Enrollment IDI20131113001028
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
363 services271 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
268 services238 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
88 services88 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
77 services70 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
72 services72 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
43 services43 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100002
Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County
Emergency services Birthing friendly

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100258
Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33445 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Margaret Mathews-d'avanzo's NPI number?

The NPI number for Margaret Mathews-d'avanzo is 1013160399. It was assigned to this individual provider in the NPPES registry on October 30, 2008.

Where is Margaret Mathews-d'avanzo located?

Margaret Mathews-d'avanzo practices at 4675 Linton Boulveard 202, Delray Beach, FL 33445. The listed phone number is (561) 495-5700.

What is Margaret Mathews-d'avanzo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Margaret Mathews-d'avanzo enrolled in Medicare?

Yes. Margaret Mathews-d'avanzo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Margaret Mathews-d'avanzo accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Margaret Mathews-d'avanzo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Margaret Mathews-d'avanzo affiliated with any hospitals?

According to CMS data, Margaret Mathews-d'avanzo is affiliated with Bethesda Hospital Inc, Boca Raton Regional Hospital and Delray Medical Center.

When was this NPI record last updated?

The NPPES record for Margaret Mathews-d'avanzo was last updated on October 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.