MARY E CAIN NP
NPI 1053372813
Nurse Practitioner - Adult Health in Medford, MA

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
26 CITY HALL MALL, MEDFORD, MA 02155(781) 306-5100(781) 306-5379 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary E Cain Np NPPES

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

MARY E CAIN NP (NPI 1053372813) is an individual adult health provider in Medford, Massachusetts, licensed in Massachusetts (176836) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1053372813
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY E CAINCredential: NP
Location Address26 CITY HALL MALLMedford, MA 02155-4754
Mailing Address147 Milk St, Provider Enrollment - 9th FloorBoston, MA 02109-4806 · (617) 559-8053 · Fax (617) 421-3487
Fax(781) 306-5379
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 31, 2006
Last NPPES UpdateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
NPI 1053372813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MA · 176836
Also ListedNurse PractitionerTaxonomy 363L00000X · License 176836 (MA)
26 CITY HALL MALL, Medford, MA 02155

Other Identifiers 3

Medicaid0360741MA
Other39164MA · Harard Pilgrim
OtherNP1114MA · Blue Cross

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

Mary E Cain Np 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 ID1052357126
PECOS Enrollment IDI20050629000864
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 31

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.

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.
324 services153 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
186 services110 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.
158 services98 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
127 services117 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
83 services83 patients
Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
76 services67 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
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 2

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.65 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers36 claims36 services$211.17 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.

Speech-Language Pathologist
26 CITY HALL MALL
MEDFORD, MA 02155
Pediatrics
26 CITY HALL MALL
MEDFORD, MA 02155
Nurse Practitioner (Family)
26 CITY HALL MALL
MEDFORD, MA 02155
Psychologist (Clinical)
26 CITY HALL MALL
MEDFORD, MA 02155
Dietitian, Registered
26 CITY HALL MALL
MEDFORD, MA 02155
Obstetrics & Gynecology
26 CITY HALL MALL
MEDFORD, MA 02155
Nurse Practitioner (Women's Health)
26 CITY HALL MALL
MEDFORD, MA 02155
Registered Nurse (Psychiatric/Mental Health)
26 CITY HALL MALL
MEDFORD, MA 02155

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 Mary Cain's NPI number?

The NPI number for Mary Cain is 1053372813. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Mary Cain located?

Mary Cain practices at 26 City Hall Mall, Medford, MA 02155. The listed phone number is (781) 306-5100.

What is Mary Cain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mary Cain enrolled in Medicare?

Yes. Mary Cain 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 Mary Cain accept?

Health plans from Anthem Blue Cross and Blue Shield list Mary Cain 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 Mary Cain affiliated with any hospitals?

According to CMS data, Mary Cain is affiliated with Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Mary Cain was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.