CAITRIONA MCGOVERN M.D.
NPI 1659733087
Pediatrics - Pediatric Gastroenterology in Boston, MA

Active since March 24, 2016PECOS Enrolled
755 WASHINGTON STREET, BOSTON, MA 02111(176) 636-3266 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 15, 2024, Mar 24, 2016 (2 updates tracked since 2016).

About Caitriona Mcgovern M.d. NPPES

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

CAITRIONA MCGOVERN M.D. (NPI 1659733087) is an individual pediatric gastroenterology provider in Boston, Massachusetts, licensed in Massachusetts (278463) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659733087
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameCAITRIONA MCGOVERNCredential: M.D.
Location Address755 WASHINGTON STREETBoston, MA 02111
Mailing Address300 Longwood Ave, Boston Children's Hospital, Hunnewell Housestaff LoungeBoston, MA 02115-5724
Sole ProprietorNo
Enumeration DateMarch 24, 2016
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1659733087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in MA · 278463
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
755 WASHINGTON STREET, Boston, MA 02111

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caitriona Mcgovern M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Caitriona Mcgovern reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
800 WASHINGTON ST, BOX 1013
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 202 clinicians in this Medicare group

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 02111 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

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

Pediatrics
755 WASHINGTON STREET
BOSTON, MA 02111

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 Caitriona Mcgovern's NPI number?

The NPI number for Caitriona Mcgovern is 1659733087. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Caitriona Mcgovern located?

Caitriona Mcgovern practices at 755 Washington Street, Boston, MA 02111. The listed phone number is (176) 636-3266.

What is Caitriona Mcgovern's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Caitriona Mcgovern enrolled in Medicare?

Yes. Caitriona Mcgovern is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caitriona Mcgovern's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caitriona Mcgovern reassigns Medicare benefits to Pratt Pediatric Associates Inc (Boston, MA). 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 Caitriona Mcgovern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caitriona Mcgovern accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Caitriona Mcgovern 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 Caitriona Mcgovern was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.