MATAN I SETTON MD
NPI 1740573476
Pediatrics - Pediatric Cardiology in Boston, MA
About Matan I Setton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATAN I SETTON MD (NPI 1740573476) is an individual pediatric cardiology provider in Boston, Massachusetts, licensed in Massachusetts (262888) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Duke University School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Matan I Setton Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matan Setton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 220 clinicians in this Medicare group
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 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.
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.
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.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Matan Setton's NPI number?
The NPI number for Matan Setton is 1740573476. It was assigned to this individual provider in the NPPES registry on May 27, 2011.
Where is Matan Setton located?
Matan Setton practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.
What is Matan Setton's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Matan Setton enrolled in Medicare?
Yes. Matan Setton 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 Matan Setton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matan Setton reassigns Medicare benefits to 2 organizations: Boston Childrens Heart Foundation Inc (Boston, MA) and Trustees Of Columbia University In The City Of New York (New York, NY). 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 Matan Setton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matan Setton accept?
Health plans from Anthem Blue Cross and Blue Shield list Matan Setton 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 Matan Setton was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Matan I Setton, MD · NPI 1740573476
Pediatric Cardiology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since May 27, 2011.
## Identity
- **NPI:** 1740573476 (Entity type: Individual)
- **Enumerated:** May 27, 2011
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 262888 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 LONGWOOD AVE, Boston, MA 02115-5724
- **Phone:** (617) 355-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Boston Childrens Heart Foundation Inc (NPI 1982680922, Boston, MA); Trustees Of Columbia University In The City Of New York (NPI 1508266347, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Duke University School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** August 18, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1740573476) · Data from the CMS NPPES public registry.