DR. PEGGY MENTOR MD
NPI 1023006525
Family Medicine - Geriatric Medicine in Brockton, MA

Q: What is Peggy Mentor's NPI number?

The NPI number for Peggy Mentor is 1023006525. It was assigned to this individual provider in the NPPES registry on October 10, 2005. The provider is also known as Dr. Peggy Mentor MD.

Q: What is Peggy Mentor's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Peggy Mentor was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 10, 2005PECOS Enrolled

940 BELMONT ST, BROCKTON, MA 02301(857) 364-4418(774) 826-3157 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2023, Jul 21, 2022, Jul 12, 2017 and 2 more (5 updates tracked since 2016).

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About Dr. Peggy Mentor Md NPPES

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

DR. PEGGY MENTOR MD (NPI 1023006525) is an individual geriatric medicine provider in Brockton, Massachusetts, licensed in Massachusetts (262150) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023006525

Entity TypeIndividualFemale

Primary Taxonomy207QG0300X

Provider Legal NameDR. PEGGY MENTORCredential: MD

Location Address940 BELMONT STBrockton, MA 02301-5596

Mailing Address940 Belmont StBrockton, MA 02301-5596 · (857) 364-4418 · Fax (774) 826-3157

Phone(857) 364-4418

Fax(774) 826-3157

Sole ProprietorNo

Enumeration DateOctober 10, 2005

Last NPPES UpdateMarch 21, 20235 updates tracked since enumeration

NPPES CertifiedMarch 21, 2023

✔ NPI 1023006525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Licenses✔ Licensed in MA · 262150✔ Licensed in CA · C53573

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

940 BELMONT ST, Brockton, MA 02301

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Other Names 1

Former Name (1)Dr. Peggy Mentor Md

Other Identifiers 1

Medicaid1023006525CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peggy Mentor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each E0168

DME-Other DME · category DE000N

1 supplier12 claims12 services$10.03 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier14 claims14 services$9.92 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier18 claims18 services$5.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN ELIZABETH SULLIVAN

Social Worker (Clinical)