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CLAUDE BOMA M.D.
NPI 1386612372
Internal Medicine in Houlton, ME

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
20 HARTFORD STREET, HOULTON, ME 04730(207) 532-9002 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Claude Boma M.d. NPPES

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

CLAUDE BOMA M.D. (NPI 1386612372) is an individual internal medicine provider in Houlton, Maine, licensed in Maine (016900) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Light A R Gould Hospital, and maintains a secondary practice location in Van Buren.

NPPES Registry Identity

NPI1386612372
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCLAUDE BOMACredential: M.D.
Location Address20 HARTFORD STREETHoulton, ME 04730-1891
Mailing AddressPo Box 40Caribou, ME 04736-0040 · (207) 498-2350 · Fax (207) 498-2352
Phone(207) 532-9002
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 8, 2006
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1386612372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in ME · 016900✔ Licensed in ME · MD16900
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.
20 HARTFORD STREET, Houlton, ME 04730
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Secondary Practice Location 1

Location 14 Main StVan Buren, ME 04785-1009 · Phone (207) 868-2796 · Fax (207) 868-2799

Accepted Insurance

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

Claude Boma 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 ID1850315466
PECOS Enrollment IDI20060123000550
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 Reassignments

4

Medicare enrollment records show Claude Boma reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Houlton Regional Hospital
Same address
Critical Access
20 HARTFORD ST
Houlton, ME 04730
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1508823741 (Maine)
  • 169 clinicians in this Medicare group
NPI 1386804268 (207) 532-2900
The Aroostook Medical Center
38 mi
Rehabilitation Hospital
140 ACADEMY ST
Presque Isle, ME 04769
  • Reassigned Medicare billing, Maine enrollment
  • 168 clinicians in this Medicare group
NPI 1265551212 (207) 768-4000
Pines Health Services
40 mi
Federally Qualified Health Center (FQHC)
66 SPRUCE ST STE B
Presque Isle, ME 04769
  • Reassigned Medicare billing, Maine enrollment
  • 91 clinicians in this Medicare group
NPI 1518283126 (207) 769-2025
Mainegeneral Medical Center
155 mi
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
NPI 1083949184 (207) 872-4454

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

Areas of Expertise CMS Part B claims 5

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.

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.
177 services69 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.
77 services73 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.
57 services54 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services11 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.
26 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Northern Light A R Gould Hospital

Acute Care Hospitals · Presque Isle, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200018
LocationPO Box 151Presque Isle, ME 04769 · Aroostook County
Emergency services Birthing friendly

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Houlton Regional Hospital

Critical Access Hospitals · Houlton, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201308
Location20 Hartford StreetHoulton, ME 04730 · Aroostook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04730 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.69
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$66.46 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier22 claims22 services$20.26 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$842.42 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims13 services$8.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$117.76 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
4 suppliers11 claims810 services$0.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOGUS VAMC
Clinic/Center (VA)
20 HARTFORD STREET
HOULTON, ME 04730
Aroostook County (717) 277-6565
DR. OWEN OSARENKHOE IGBINOSA MD
Internal Medicine
20 HARTFORD STREET
HOULTON, ME 04730
Aroostook County (207) 532-2900
PETER A TRIOLO M.D.
Radiology (Diagnostic Radiology)
20 HARTFORD STREET
HOULTON, ME 04730
Aroostook County (207) 532-9471

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 Claude Boma's NPI number?

The NPI number for Claude Boma is 1386612372. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Claude Boma located?

Claude Boma practices at 20 Hartford Street, Houlton, ME 04730. The listed phone number is (207) 532-9002.

What is Claude Boma's specialty?

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

Is Claude Boma enrolled in Medicare?

Yes. Claude Boma 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 organizations bill Medicare for Claude Boma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claude Boma reassigns Medicare benefits to 4 organizations: Houlton Regional Hospital (Houlton, ME), The Aroostook Medical Center (Presque Isle, ME), Pines Health Services (Presque Isle, ME) and Mainegeneral Medical Center (Augusta, ME). Each 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 Claude Boma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claude Boma accept?

Health plans from Anthem Blue Cross and Blue Shield list Claude Boma 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 Claude Boma affiliated with any hospitals?

According to CMS data, Claude Boma is affiliated with Northern Light A R Gould Hospital, Northern Light Eastern Maine Medical Center and Houlton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Claude Boma was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.