1. Home
  2. Directory
  3. Massachusetts
  4. Great Barrington
  5. Family Medicine
  6. NPI Profile

CLAIRE A HORTH M.D
NPI 1093127656
Family Medicine in Great Barrington, MA

Active since May 29, 2014PECOS EnrolledAccepts Medicare Assignment
444 STOCKBRIDGE ROAD, GREAT BARRINGTON, MA 01230(413) 528-8580(413) 528-8583 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 17, 2017 (2 updates tracked since 2017).

About Claire A Horth M.d NPPES

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

CLAIRE A HORTH M.D (NPI 1093127656) is an individual family medicine provider in Great Barrington, Massachusetts, licensed in Massachusetts (270142) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and is a graduate of University Of Massachusetts Medical School (2014).

NPPES Registry Identity

NPI1093127656
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCLAIRE A HORTHCredential: M.D
Location Address444 STOCKBRIDGE ROADGreat Barrington, MA 01230
Mailing AddressP.o. Box 30Great Barrington, MA 01230 · (413) 528-9311 · Fax (413) 644-0274
Phone(413) 528-8580
Fax(413) 528-8583
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2014
Enumeration DateMay 29, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1093127656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MA · 270142✔ Licensed in RI · LP03099
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.

444 STOCKBRIDGE ROAD, Great Barrington, MA 01230
Open in Google Maps ↗

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

Claire A Horth M.d 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 ID7911296686
PECOS Enrollment IDI20170915002308
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 2

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.

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
26 services25 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220046
Location725 North StreetPittsfield, MA 01201 · Berkshire County
Emergency services Birthing friendly

Fairview Hospital

Critical Access Hospitals · Great Barrington, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221302
Location29 Lewis AvenueGreat Barrington, MA 01230 · Berkshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01230 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
56%258 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
62%428 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
39%64 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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
6 suppliers53 claims103 services$5.30 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
1 supplier12 claims12 services$16.53 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier14 claims14 services$15.12 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier22 claims112 services$2.29 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
1 supplier13 claims13 services$10.47 avg. paid by Medicare
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$72.71 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 8

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

TAMERA S GEBO-WILBER PHYSICAL THERAPIST
Physical Therapist
444 STOCKBRIDGE ROAD
GREAT BARRINGTON, MA 01230
Berkshire County (412) 528-8580
MARY ELIZABETH MERRITT CLC, PH.D
Lactation Consultant, Non-RN
444 STOCKBRIDGE ROAD, COMMUNITY HEALTH PROGRAMS INC
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-9311
STEPHEN A ALSDORF M.D
Family Medicine
444 STOCKBRIDGE ROAD
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-8580
MRS. LAURA E BRIGHAM GARIEPY FNP
Nurse Practitioner (Family)
444 STOCKBRIDGE ROAD
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-8580
KATHRYN KORTE FNP
Nurse Practitioner (Family)
444 STOCKBRIDGE ROAD
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-8580
MS. ERIN JILL PACHECO R.D., L.D.N
Dietitian, Registered (Nutrition, Pediatric)
444 STOCKBRIDGE ROAD
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-8580
MRS. STEPHANIE HERTIG TAYLOR PNP
Nurse Practitioner (Pediatrics)
444 STOCKBRIDGE ROAD
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-8580
BARBARA K. SNYDER MD
Pediatrics (Adolescent Medicine)
444 STOCKBRIDGE ROAD
GREAT BARRINGTON, MA 01230
Berkshire County (413) 528-8580

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 Claire Horth's NPI number?

The NPI number for Claire Horth is 1093127656. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Where is Claire Horth located?

Claire Horth practices at 444 Stockbridge Road, Great Barrington, MA 01230. The listed phone number is (413) 528-8580.

What is Claire Horth's specialty?

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

Is Claire Horth enrolled in Medicare?

Yes. Claire Horth 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 Claire Horth accept?

Health plans from Anthem Blue Cross and Blue Shield list Claire Horth 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 Claire Horth affiliated with any hospitals?

According to CMS data, Claire Horth is affiliated with Berkshire Medical Center and Fairview Hospital.

When was this NPI record last updated?

The NPPES record for Claire Horth was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.