DR. CLAUDIO MONTEIRO DEBARROS M.D.
NPI 1114213105
Pediatrics in Boston, MA
NPI Status: Active since June 28, 2011
Contact Information
800 WASHINGTON ST
BOSTON, MA
ZIP 02111
Phone: (617) 636-5078
Fax: (617) 636-8391
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About CLAUDIO DEBARROS
This page provides the complete NPI Profile along with additional information for Claudio Debarros, a pediatrician established in Boston, Massachusetts with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1114213105 assigned on June 2011. The practitioner's primary taxonomy code is 208000000X with license number 2492238 (MA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1114213105
- Provider Name
- DR. CLAUDIO MONTEIRO DEBARROS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 800 WASHINGTON ST BOSTON, MA 02111
- Location Phone
- (617) 636-5078
- Location Fax
- (617) 636-8391
- Mailing Address
- 800 WASHINGTON ST BOSTON, MA 02111
- Mailing Phone
- (617) 636-5078
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-28-2011
- Last Update Date
- 06-28-2011
- Code Navigator
A pediatrician like Claudio Debarros is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2492238
- License State
- MA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Claudio Debarros is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02111 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.64
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $24.41
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. CLAUDIO MONTEIRO DEBARROS M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 2 | 1 | 3 | 1 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 4 | 1 | 6 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 4 + 1 + 6 + 1 + 0 + 24 = 45 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 45 = 5 | 5 | ||||||||
The NPI number 1114213105 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
PETER J CASTALDI M.D.
Internal Medicine
800 WASHINGTON ST
BOX 63
BOSTON, MA
ZIP 02111
MANUEL N PACHECO M.D.
Psychiatry & Neurology
(Psychosomatic Medicine)
800 WASHINGTON ST
TUFTS MEDICAL CENTER BOX 1007
BOSTON, MA
ZIP 02111
DR. GEORGE GRAHAM MD
Obstetrics & Gynecology
800 WASHINGTON ST
BOSTON, MA
ZIP 02111
DR. JEFFREY I LASKER MD
Pediatrics
800 WASHINGTON ST
DEPT. OF PEDIATRICS
BOSTON, MA
ZIP 02111
DR. JEFFREY MICHAEL CHAVIN M.D.
Psychiatry & Neurology
(Neurology)
800 WASHINGTON ST
#314
BOSTON, MA
ZIP 02111
STEVE A BOGEN M.D., PH.D.
Pathology
(Clinical Pathology/Laboratory Medicine)
800 WASHINGTON ST
BOX 115
BOSTON, MA
ZIP 02111
MS. KATHLEEN A COLEMAN NP
Nurse Practitioner
800 WASHINGTON ST
GI LIVER GROUP P.C.TUFTS MEDICAL CENTER
BOSTON, MA
ZIP 02111
DR. LUDWIG ERIK VON HAHN MD
Pediatrics
(Developmental - Behavioral Pediatrics)
800 WASHINGTON ST
BOX 334
BOSTON, MA
ZIP 02111
LINDA A BISHOP MD
Pediatrics
800 WASHINGTON ST
BOX 286 DEPT. OF PEDIATRICS
BOSTON, MA
ZIP 02111
MICHAEL H GOLDSTEIN M.D.
Specialist
800 WASHINGTON ST
# 450
BOSTON, MA
ZIP 02111
DR. W. HEINRICH WURM M.D.
Anesthesiology
800 WASHINGTON ST
TUFT-NEMC BOX 298
BOSTON, MA
ZIP 02111
KAREN C BRESNAHAN M.D.
Pediatrics
(Developmental - Behavioral Pediatrics)
800 WASHINGTON ST
CCSN # 334
BOSTON, MA
ZIP 02111
GIANNOULA LAKKA KLEMENT MD
Pediatrics
(Pediatric Hematology-Oncology)
800 WASHINGTON ST
FLOATING HOSPITAL FOR CHILDREN AT TUFTS MEDICAL CENTER
BOSTON, MA
ZIP 02111
ROGER A GRAHAM M.D.
Surgery
800 WASHINGTON ST
BOX 7105
BOSTON, MA
ZIP 02111
WILLIAM FOO HING YEE M.D.
Pediatrics
(Pediatric Pulmonology)
800 WASHINGTON ST
TMC BOX# 343
BOSTON, MA
ZIP 02111
MARK V. ZILBERMAN M.D.
Pediatrics
(Pediatric Cardiology)
800 WASHINGTON ST
#313
BOSTON, MA
ZIP 02111
CHARLES CASSIDY M.D.
Orthopaedic Surgery
(Hand Surgery)
800 WASHINGTON ST
BOX 26
BOSTON, MA
ZIP 02111
MARY ELLEN BROWN MD
Pediatrics
800 WASHINGTON ST
GENERAL PEDIATRICS - FLOATING HOSPITAL FOR CHILDREN
BOSTON, MA
ZIP 02111
GEOFFREY BINNEY M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
800 WASHINGTON ST
BOSTON, MA
ZIP 02111
DR. SUNIL DILIPKUMAR SHROFF MD
Emergency Medicine
800 WASHINGTON ST
BOX #311
BOSTON, MA
ZIP 02111
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114213105, enumerated as an "individual" on June 28, 2011.
The provider is located at 800 WASHINGTON ST BOSTON, MA 02111 and the phone number is (617) 636-5078.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.
