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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONATHAN M PINCUS MD
NPI 1043234099
Internal Medicine in Boston, MA

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
725 ALBANY ST, SHAPIRO 9, SUITE B, BOSTON, MA 02118(617) 414-4290(617) 414-4285 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Jan 4, 2024 (2 updates tracked since 2024).

About Jonathan M Pincus Md NPPES

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

JONATHAN M PINCUS MD (NPI 1043234099) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (79005) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and maintains a secondary practice location in Dorchester.

NPPES Registry Identity

NPI1043234099
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJONATHAN M PINCUSCredential: MD
Location Address725 ALBANY ST, SHAPIRO 9, SUITE BBoston, MA 02118-2526
Mailing Address637 Washington StDorchester, MA 02124-3510 · (617) 825-9660 · Fax (617) 288-7898
Phone(617) 414-4290
Fax(617) 414-4285
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1989
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1043234099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 79005
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
725 ALBANY ST, Boston, MA 02118
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Secondary Practice Location 1

Location 1637 Washington StDorchester, MA 02124-3510 · Phone (617) 825-9660 · Fax (617) 288-7898

Other Identifiers 1

Medicaid110054737AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Jonathan M Pincus Md 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 ID8729015235
PECOS Enrollment IDI20050726000576
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 4

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 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.
88 services41 patients
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.
37 services28 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
26 services15 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers22 claims46 services$5.14 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.

TYLER BRECK MARTIN NP
Nurse Practitioner (Family)
725 ALBANY ST, SHAPIRO 3, SUITE A
BOSTON, MA 02118
Suffolk County (617) 414-4886
JEFFREY MARK DRAZEN M.D.
Internal Medicine (Pulmonary Disease)
725 ALBANY ST, SHAPIRO 9, SUITE B
BOSTON, MA 02118
Suffolk County (617) 638-7480
DR. NOOR ANMOL KAUR CHADHA MD, MS
Obstetrics & Gynecology
725 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 414-2000
DR. KAREN FREUND M.D.
Internal Medicine
725 ALBANY ST, SHAPIRO 5, SUITE A
BOSTON, MA 02118
Suffolk County (617) 638-7428
DR. VIKEN L BABIKIAN M.D.
Psychiatry & Neurology (Neurology)
725 ALBANY ST, SHAPIRO 7, SUITE B
BOSTON, MA 02118
Suffolk County (617) 638-8456
DR. JOHN J CROKE MD
Dermatology
725 ALBANY ST, SHAPIRO 8
BOSTON, MA 02118
Suffolk County (617) 638-7420
DEBORAH ANN MCNEIL NP
Nurse Practitioner (Acute Care)
725 ALBANY ST, SHAPIRO 4, SUITE B
BOSTON, MA 02118
Suffolk County (617) 638-5633
DR. ALEXANDRA R. PIPILAS M.D.
Internal Medicine (Cardiovascular Disease)
725 ALBANY ST, SUITE 7B, SHAPIRO BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7490

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 Jonathan Pincus's NPI number?

The NPI number for Jonathan Pincus is 1043234099. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Jonathan Pincus located?

Jonathan Pincus practices at 725 Albany St Shapiro 9, Suite B, Boston, MA 02118. The listed phone number is (617) 414-4290.

What is Jonathan Pincus's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jonathan Pincus enrolled in Medicare?

Yes. Jonathan Pincus 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 Jonathan Pincus accept?

Health plans from Anthem Blue Cross and Blue Shield list Jonathan Pincus 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 Jonathan Pincus affiliated with any hospitals?

According to CMS data, Jonathan Pincus is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Pincus was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.