CAROLYN ARNOLD MD,
NPI 1093104408
Family Medicine in South Boston, MA

Active since January 22, 2015PECOS EnrolledAccepts Medicare Assignment
409 WEST BROADWAY, SOUTH BOSTON, MA 02127(617) 269-7500 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 28, 2021, Aug 29, 2018 (2 updates tracked since 2018).

About Carolyn Arnold Md, NPPES

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

CAROLYN ARNOLD MD, (NPI 1093104408) is an individual family medicine provider in South Boston, Massachusetts, licensed in Massachusetts (287303) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1093104408
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCAROLYN ARNOLDCredential: MD,
Location Address409 WEST BROADWAYSouth Boston, MA 02127
Mailing Address801 Albany Street, Fl GroundBoston, MA 02119-3791
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2018
Enumeration DateJanuary 22, 2015
Last NPPES UpdateJuly 28, 20212 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
NPI 1093104408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MA · 287303
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

409 WEST BROADWAY, South Boston, MA 02127

Secondary Practice Location 1

Location 11 Boston Medical Center Pl, Dowling 5Boston, MA 02118-2908 · Phone (617) 414-4465

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

Carolyn Arnold 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 ID6800146333
PECOS Enrollment IDI20210806000529
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 5

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.
67 services36 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.
26 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
21 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
17 services13 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 02127 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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$68.32 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$33.28 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 3

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

Pharmacy (Community/Retail Pharmacy)
409 WEST BROADWAY
SOUTH BOSTON, MA 02127
Pharmacy (Community/Retail Pharmacy)
409 WEST BROADWAY
SOUTH BOSTON, MA 02127
Family Medicine
409 WEST BROADWAY
SOUTH BOSTON, MA 02127

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 Carolyn Arnold's NPI number?

The NPI number for Carolyn Arnold is 1093104408. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Where is Carolyn Arnold located?

Carolyn Arnold practices at 409 West Broadway, South Boston, MA 02127. The listed phone number is (617) 269-7500.

What is Carolyn Arnold's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carolyn Arnold enrolled in Medicare?

Yes. Carolyn Arnold 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 Carolyn Arnold accept?

Health plans from Anthem Blue Cross and Blue Shield list Carolyn Arnold 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 Carolyn Arnold affiliated with any hospitals?

According to CMS data, Carolyn Arnold is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Carolyn Arnold was last updated on July 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.