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CLAUDIO READER M.D.
NPI 1245288026
Internal Medicine in Watertown, NY

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
830 WASHINGTON ST, WATERTOWN, NY 13601(315) 779-5298(315) 779-5295 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2022, Aug 26, 2022 (2 updates tracked since 2022).

About Claudio Reader M.d. NPPES

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

CLAUDIO READER M.D. (NPI 1245288026) is an individual internal medicine provider in Watertown, New York, licensed in New York (225091) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Concord Hospital- Laconia, and maintains a secondary practice location in Biddeford.

NPPES Registry Identity

NPI1245288026
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCLAUDIO READERCredential: M.D.
Location Address830 WASHINGTON STWatertown, NY 13601-4066
Mailing Address830 Washington StWatertown, NY 13601-4066 · (315) 779-5298 · Fax (315) 779-5295
Phone(315) 779-5298
Fax(315) 779-5295
Sole ProprietorNo
Medical School CMSOtherGraduated 1971
Enumeration DateMay 4, 2006
Last NPPES UpdateSeptember 7, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
✔ NPI 1245288026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 225091✔ Licensed in RI · MD11868✔ Licensed in ME · 26186
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
830 WASHINGTON ST, Watertown, NY 13601
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Secondary Practice Location 1

Location 11 Medical Center DrBiddeford, ME 04005-9422 · Phone (207) 283-7937

Other Identifiers 1

Medicaid00354316NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.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

Claudio Reader 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 ID4385676931
PECOS Enrollment IDI20060413000691, I20100216000151, I20120423000733
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 6

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
319 services314 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.
120 services74 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.
118 services65 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Concord Hospital- Laconia

Acute Care Hospitals · Laconia, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300005
Location80 Highland StLaconia, NH 03246 · Belknap County
Emergency services

Parkland Medical Center

Acute Care Hospitals · Derry, NH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number300017
Location1 Parkland DriveDerry, NH 03038 · Rockingham County
Emergency services

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Brattleboro Memorial Hospital

Acute Care Hospitals · Brattleboro, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470011
Location17 Belmont AveBrattleboro, VT 05301 · Windham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13601 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

JIN JU YI
Student in an Organized Health Care Education/Training Program
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-7300
DR. APARANJI PALLAVI BALABHADRAPATRUNI MD
Student in an Organized Health Care Education/Training Program
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-7300
DEANNA HIRSCHEY PT
Physical Therapist
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4088
JEFFREY CLINTON KRAUSS PA
Physician Assistant
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-4813
TINA LIVINGSTON PTA
Physical Therapy Assistant
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4088
ANDREA MARY FAVRET RPH
Pharmacist
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4063
DR. SHRIPAD BRAHMANAND PANDE MD
Internal Medicine
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4000
MS. LINDSEY RUTH WILLIAMS NP
Nurse Practitioner (Psychiatric/Mental Health)
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-4000

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 Claudio Reader's NPI number?

The NPI number for Claudio Reader is 1245288026. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Claudio Reader located?

Claudio Reader practices at 830 Washington St, Watertown, NY 13601. The listed phone number is (315) 779-5298.

What is Claudio Reader's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Claudio Reader enrolled in Medicare?

Yes. Claudio Reader 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 Claudio Reader accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Claudio Reader 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 Claudio Reader affiliated with any hospitals?

According to CMS data, Claudio Reader is affiliated with Concord Hospital- Laconia, Parkland Medical Center, Portsmouth Regional Hospital, The Miriam Hospital and Brattleboro Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Claudio Reader was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.