MICHAEL NATHAN METZMAKER PA-C
NPI 1356866800
Physician Assistant in Boston, MA

Active since August 06, 2017PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating

NPPES record last updated: August 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Nathan Metzmaker Pa-c NPPES

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

MICHAEL NATHAN METZMAKER PA-C (NPI 1356866800) is an individual physician assistant in Boston, Massachusetts and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356866800
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL NATHAN METZMAKERCredential: PA-C
Location Address36 1ST AVEBoston, MA 02129-4557
Mailing Address10 Clarendon AveSomerville, MA 02144-1705 · (774) 696-2254
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 6, 2017
NPI 1356866800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

36 1ST AVE, Boston, MA 02129

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

Michael Nathan Metzmaker Pa-c 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 ID3870851280
PECOS Enrollment IDI20171212002706
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 3

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
33 services23 patients
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.
18 services16 patients
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.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02129 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
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

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.

Nurse Practitioner (Family)
36 1ST AVE
BOSTON, MA 02129
Nurse Practitioner (Psychiatric/Mental Health)
36 1ST AVE
CHARLESTOWN, MA 02129
Registered Nurse
36 1ST AVE
BOSTON, MA 02129
Registered Nurse
36 1ST AVE
BOSTON, MA 02129
Nurse Practitioner (Psychiatric/Mental Health)
36 1ST AVE
BOSTON, MA 02129
Registered Nurse
36 1ST AVE
BOSTON, MA 02129
Physician Assistant
36 1ST AVE
CHARLESTOWN, MA 02129
Nurse Practitioner (Adult Health)
36 1ST AVE
BOSTON, MA 02129

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 Michael Metzmaker's NPI number?

The NPI number for Michael Metzmaker is 1356866800. It was assigned to this individual provider in the NPPES registry on August 6, 2017.

Where is Michael Metzmaker located?

Michael Metzmaker practices at 36 1st Ave, Boston, MA 02129. The listed phone number is (617) 724-4499.

What is Michael Metzmaker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Metzmaker enrolled in Medicare?

Yes. Michael Metzmaker 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 Michael Metzmaker accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Metzmaker 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 Michael Metzmaker affiliated with any hospitals?

According to CMS data, Michael Metzmaker is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Michael Metzmaker was last updated on August 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.