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BETSY JO PEARL LCSW
NPI 1316179542
Social Worker - Clinical in Boynton Beach, FL

Active since August 21, 2009PECOS EnrolledAccepts Medicare Assignment
99.78/100
CMS Quality Rating
5837 NORTHPOINTE LN, BOYNTON BEACH, FL 33437(561) 632-5656 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Betsy Jo Pearl Lcsw NPPES

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

BETSY JO PEARL LCSW (NPI 1316179542) is an individual clinical provider in Boynton Beach, Florida, licensed in Florida (4374) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1316179542
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBETSY JO PEARLCredential: LCSW
Location Address5837 NORTHPOINTE LNBoynton Beach, FL 33437-2008
Mailing Address5837 Northpointe LnBoynton Beach, FL 33437-2008 · (561) 632-5656
Phone(561) 632-5656
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 21, 2009
Last NPPES UpdateApril 27, 2011
✔ NPI 1316179542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · 4374
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5837 NORTHPOINTE LN, Boynton Beach, FL 33437
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Other Identifiers 1

Other201966531FL · Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Betsy Jo Pearl Lcsw 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 ID3779754049
PECOS Enrollment IDI20110916000128
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.

Medicare Billing Reassignment

Medicare enrollment records show Betsy Pearl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boca Raton Psychiatry, LLC
10 mi
Psychiatry
9980 CENTRAL PARK BLVD N STE 210
Boca Raton, FL 33428
  • Reassigned Medicare billing, Florida enrollment
  • 48 clinicians in this Medicare group
NPI 1275056616 (561) 342-8822

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33437 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
$0.00 typical visit price
range $58.56 – $179.05
Typical copayment $0.00 (range $14.64 – $44.76)
Most-billed visit code NA
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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.

99.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.74
Improvement Activities40

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 Betsy Pearl's NPI number?

The NPI number for Betsy Pearl is 1316179542. It was assigned to this individual provider in the NPPES registry on August 21, 2009.

Where is Betsy Pearl located?

Betsy Pearl practices at 5837 Northpointe Ln, Boynton Beach, FL 33437. The listed phone number is (561) 632-5656.

What is Betsy Pearl's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Betsy Pearl enrolled in Medicare?

Yes. Betsy Pearl 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.

Which organization bills Medicare for Betsy Pearl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Betsy Pearl reassigns Medicare benefits to Boca Raton Psychiatry, LLC (Boca Raton, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Betsy Pearl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Betsy Pearl accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Betsy Pearl 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.

When was this NPI record last updated?

The NPPES record for Betsy Pearl was last updated on April 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.