DR. IVY LYNN BRACKUP MD
NPI 1184691891
Family Medicine in Dorchester, MA

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
1353 DORCHESTER AVE, DORCHESTER, MA 02122(617) 288-3230 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ivy Lynn Brackup Md NPPES

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

DR. IVY LYNN BRACKUP MD (NPI 1184691891) is an individual family medicine provider in Dorchester, Massachusetts, licensed in Massachusetts (15530) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1991).

NPPES Registry Identity

NPI1184691891
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. IVY LYNN BRACKUPCredential: MD
Location Address1353 DORCHESTER AVEDorchester, MA 02122-2932
Mailing Address1353 Dorchester AveDorchester, MA 02122-2932 · (617) 288-3230
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1991
Enumeration DateMarch 1, 2006
Last NPPES UpdateSeptember 11, 2024
NPPES CertifiedSeptember 11, 2024
NPI 1184691891 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 · 15530
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.
1353 DORCHESTER AVE, Dorchester, MA 02122

Other Identifiers 1

Medicaid3177190MA

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

Dr. Ivy Lynn Brackup 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 ID2163561986
PECOS Enrollment IDI20091207000688
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 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.
73 services31 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 02122 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)
1353 DORCHESTER AVE
BOSTON, MA 02122
Counselor (Mental Health)
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Clinical Nurse Specialist (Psychiatric/Mental Health)
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Student in an Organized Health Care Education/Training Program
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Social Worker (Clinical)
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Speech-Language Pathologist
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Optometrist
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Nurse Practitioner (Family)
1353 DORCHESTER AVE
DORCHESTER, MA 02122

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 Ivy Brackup's NPI number?

The NPI number for Ivy Brackup is 1184691891. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Ivy Brackup located?

Ivy Brackup practices at 1353 Dorchester Ave, Dorchester, MA 02122. The listed phone number is (617) 288-3230.

What is Ivy Brackup's specialty?

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

Is Ivy Brackup enrolled in Medicare?

Yes. Ivy Brackup 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 Ivy Brackup accept?

Health plans from Anthem Blue Cross and Blue Shield list Ivy Brackup 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 Ivy Brackup affiliated with any hospitals?

According to CMS data, Ivy Brackup is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Ivy Brackup was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.