DR. CLAIRE J CARLO M.D.
NPI 1336125871
Internal Medicine in Boston, MA

Active since December 16, 2005PECOS EnrolledAccepts Medicare Assignment
780 ALBANY ST, BOSTON, MA 02118(857) 654-1000(857) 654-1100 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Claire J Carlo M.d. NPPES

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

DR. CLAIRE J CARLO M.D. (NPI 1336125871) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (153932) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of New York Medical College (1985).

NPPES Registry Identity

NPI1336125871
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CLAIRE J CARLOCredential: M.D.
Location Address780 ALBANY STBoston, MA 02118-2524
Mailing Address780 Albany StBoston, MA 02118-2524 · (857) 654-1000 · Fax (857) 654-1100
Fax(857) 654-1100
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1985
Enumeration DateDecember 16, 2005
Last NPPES UpdateJanuary 8, 2015
NPI 1336125871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 153932
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.
780 ALBANY ST, Boston, MA 02118

Other Identifiers 3

Medicare UPINF36717MA
Medicaid3198189MA
Medicare ID-Type UnspecifiedCAA29090MA

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. Claire J Carlo 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 ID4880643642
PECOS Enrollment IDI20050119000368
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.

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 02118 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
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)
780 ALBANY ST
BOSTON, MA 02118
Registered Nurse
780 ALBANY ST
BOSTON, MA 02118
Nurse Practitioner
780 ALBANY ST
BOSTON, MA 02118
Dentist (General Practice)
780 ALBANY ST
BOSTON, MA 02118
Clinic/Center (Federally Qualified Health Center (FQHC))
780 ALBANY ST
BOSTON, MA 02118
Registered Nurse
780 ALBANY ST
BOSTON, MA 02118
Registered Nurse
780 ALBANY ST
BOSTON, MA 02118
Social Worker (Clinical)
780 ALBANY ST
BOSTON, MA 02118

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 Carlo's NPI number?

The NPI number for Claire Carlo is 1336125871. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Claire Carlo located?

Claire Carlo practices at 780 Albany St, Boston, MA 02118. The listed phone number is (857) 654-1000.

What is Claire Carlo's specialty?

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

Is Claire Carlo enrolled in Medicare?

Yes. Claire Carlo 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 Carlo accept?

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

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

When was this NPI record last updated?

The NPPES record for Claire Carlo was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.