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CLAIRE MARGARET MATHON CNP
NPI 1184390924
Nurse Practitioner - Family in East Boston, MA

Active since August 20, 2021PECOS EnrolledAccepts Medicare Assignment
20 MAVERICK SQ, EAST BOSTON, MA 02128(617) 569-5800(617) 568-4756 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Claire Margaret Mathon Cnp NPPES

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

CLAIRE MARGARET MATHON CNP (NPI 1184390924) is an individual family provider in East Boston, Massachusetts, licensed in Massachusetts (RN2337646) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184390924
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLAIRE MARGARET MATHONCredential: CNP
Location Address20 MAVERICK SQEast Boston, MA 02128-2335
Mailing Address10 Gove StEast Boston, MA 02128-1920 · (617) 569-5800 · Fax (617) 568-4756
Phone(617) 569-5800
Fax(617) 568-4756
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 20, 2021
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1184390924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2337646
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License RN2337646 (MA)
20 MAVERICK SQ, East Boston, MA 02128
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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 Margaret Mathon Cnp 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 ID4082095781
PECOS Enrollment IDI20220712003659
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

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.
25 services20 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 02128 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.

MAVERICK SPECIALTY RETAIL PHARMACY
Pharmacy (Specialty Pharmacy)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Suffolk County (617) 568-4781
DR. SUMATI BHALLA DDS
Dentist (General Practice)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800
YUEQI LI
Counselor (School)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800
KATHERINE HENAO-MARTINEZ CNP
Nurse Practitioner (Family)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800
MR. JOSE LUIS DE RAMON III
Psychologist (Counseling)
20 MAVERICK SQ
BOSTON, MA 02128
Suffolk County (305) 305-5140
LARISSA HEIDEMANN PAGANINI DMD
Dentist (General Practice)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800
RICHARD JOE HO O.D.
Optometrist
20 MAVERICK SQ
EAST BOSTON, MA 02128
Suffolk County (617) 568-4474
CARLOS ECHEVARRIA MALDONADO PHARMD
Pharmacist
20 MAVERICK SQ
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800

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 Mathon's NPI number?

The NPI number for Claire Mathon is 1184390924. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Where is Claire Mathon located?

Claire Mathon practices at 20 Maverick Sq, East Boston, MA 02128. The listed phone number is (617) 569-5800.

What is Claire Mathon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Claire Mathon enrolled in Medicare?

Yes. Claire Mathon 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 Mathon accept?

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

According to CMS data, Claire Mathon is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Claire Mathon was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.