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GRIFFIN HUNTER BOEDICKER
NPI 1417724246
Physician Assistant - Surgical in Newton, MA

Active since December 12, 2023PECOS EnrolledAccepts Medicare Assignment
159 WELLS AVE STE 500, NEWTON, MA 02459(617) 965-4263 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 26, 2025, Dec 12, 2023 (2 updates tracked since 2023).

About Griffin Hunter Boedicker NPPES

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

GRIFFIN HUNTER BOEDICKER (NPI 1417724246) is an individual surgical provider in Newton, Massachusetts, licensed in Massachusetts (PA101506) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Tufts University School Of Medicine (2025).

NPPES Registry Identity

NPI1417724246
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameGRIFFIN HUNTER BOEDICKER
Location Address159 WELLS AVE STE 500Newton, MA 02459-3301
Mailing Address159 Wells Ave Ste 500Newton, MA 02459-3301
Phone(617) 965-4263
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2025
Enumeration DateDecember 12, 2023
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1417724246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MA · PA101506
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
159 WELLS AVE STE 500, Newton, MA 02459
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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

Griffin Hunter Boedicker 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 ID3476067877
PECOS Enrollment IDI20251030001580
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 5

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Martha's Vineyard Hospital Inc

Critical Access Hospitals · Oak Bluffs, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221300
LocationOne Hospital Road, First Fl, Wing 5, PO Box 1477Oak Bluffs, MA 02557 · Dukes County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL S GUSS M.D.
Orthopaedic Surgery
159 WELLS AVE STE 500
NEWTON, MA 02459
Middlesex County (617) 965-4263
DR. KERRI LYNNE REID BRIDENHAGEN OTR/L, CHT
Occupational Therapist (Hand)
159 WELLS AVE STE 500
NEWTON, MA 02459
Middlesex County (617) 965-4263

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 Griffin Boedicker's NPI number?

The NPI number for Griffin Boedicker is 1417724246. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Where is Griffin Boedicker located?

Griffin Boedicker practices at 159 Wells Ave Ste 500, Newton, MA 02459. The listed phone number is (617) 965-4263.

What is Griffin Boedicker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Griffin Boedicker enrolled in Medicare?

Yes. Griffin Boedicker 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.

Is Griffin Boedicker affiliated with any hospitals?

According to CMS data, Griffin Boedicker is affiliated with Massachusetts General Hospital, Emerson Hospital -, Newton-Wellesley Hospital, Brigham And Women's Hospital and Martha's Vineyard Hospital Inc.

When was this NPI record last updated?

The NPPES record for Griffin Boedicker was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.