CAROLINE BANCROFT MD
NPI 1073045035
Pediatrics in Boston, MA

Active since March 29, 2017PECOS Enrolled
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 31, 2020, Jul 17, 2020, Mar 29, 2017 (3 updates tracked since 2017).

About Caroline Bancroft Md NPPES

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

CAROLINE BANCROFT MD (NPI 1073045035) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (282960) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2017).

NPPES Registry Identity

NPI1073045035
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAROLINE BANCROFTCredential: MD
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address22 S Greene St, Room N5w70Baltimore, MD 21201-1544
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2017
Enumeration DateMarch 29, 2017
Last NPPES UpdateAugust 31, 20203 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
✔ NPI 1073045035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 282960
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
300 LONGWOOD AVE, Boston, MA 02115

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline Bancroft Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133494909
PECOS Enrollment IDI20260129001344
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

2

Medicare enrollment records show Caroline Bancroft reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,358 clinicians in this Medicare group
Rural
1300 HOSPITAL LOOP
Belcourt, ND 58316
  • Reassigned Medicare billing, Texas enrollment
  • 193 clinicians in this Medicare group

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 02115 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.

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.

Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115

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 Caroline Bancroft's NPI number?

The NPI number for Caroline Bancroft is 1073045035. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Caroline Bancroft located?

Caroline Bancroft practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Caroline Bancroft's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Caroline Bancroft enrolled in Medicare?

Yes. Caroline Bancroft is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Caroline Bancroft's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Bancroft reassigns Medicare benefits to 2 organizations: Children's Hospital Pediatric Associates, Inc (Boston, MA) and Quentin N Burdick Comprehensive Health Care Facility (Belcourt, ND). 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 Caroline Bancroft's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Bancroft accept?

Health plans from Blue Cross Blue Shield of North Dakota and Taro Health list Caroline Bancroft 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.

When was this NPI record last updated?

The NPPES record for Caroline Bancroft was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.