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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Peggy Mentor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

First-Class Behavioral & Counseling Services
7.0 mi
Psychiatric/Mental Health
1017 TURNPIKE ST, UNITS 31A, 32A ,33
Canton, MA 02021
  • Reassigned Medicare billing, Massachusetts enrollment
  • 16 clinicians in this Medicare group
NPI 1336870864 (781) 236-7343
Mass General Brigham Urgent Care LLC
20 mi
Urgent Care
1285 BEACON ST
Brookline, MA 02446
  • Reassigned Medicare billing, Massachusetts enrollment
  • 144 clinicians in this Medicare group
NPI 1720486830 (617) 751-6205
Steward Medical Group, Inc
22 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DR. JENI ELAINE NORSTROM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2188
JOSEPH KEENE
Licensed Practical Nurse
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2160
MRS. ROBIN PARENTE R.N.
Registered Nurse (Critical Care Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-1194
ANAIS LUGO-GUERCIO
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
MRS. TRUDY ROSE RADVILLE OTR/L
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DIL TAHERA M.D.
Psychiatry & Neurology (Psychiatry)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-3151
MICAELA COSTA LICSW
Social Worker (Clinical)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-3321

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 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.

Where is Peggy Mentor located?

Peggy Mentor practices at 940 Belmont St, Brockton, MA 02301. The listed phone number is (857) 364-4418.

What is Peggy Mentor's specialty?

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

Is Peggy Mentor enrolled in Medicare?

Yes. Peggy Mentor is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peggy Mentor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peggy Mentor reassigns Medicare benefits to 3 organizations: First-Class Behavioral & Counseling Services (Canton, MA), Mass General Brigham Urgent Care LLC (Brookline, MA) and Steward Medical Group, Inc (Watertown, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peggy Mentor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.