CLAUDIA L MA MD
NPI 1790245041
Family Medicine in Somerville, MA

Active since March 22, 2019PECOS EnrolledAccepts Medicare Assignment
40 HOLLAND ST, SOMERVILLE, MA 02144(617) 629-6000 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Claudia L Ma Md NPPES

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

CLAUDIA L MA MD (NPI 1790245041) is an individual family medicine provider in Somerville, Massachusetts, licensed in Massachusetts (291202) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (2019).

NPPES Registry Identity

NPI1790245041
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCLAUDIA L MACredential: MD
Location Address40 HOLLAND STSomerville, MA 02144-2705
Mailing Address40 Holland StSomerville, MA 02144-2705 · (617) 629-6000
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2019
Enumeration DateMarch 22, 2019
Last NPPES UpdateJune 21, 2022
NPPES CertifiedJune 21, 2022
NPI 1790245041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MA · 291202
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
40 HOLLAND ST, Somerville, MA 02144

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

Claudia L Ma 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.

PECOS PAC ID4486988102
PECOS Enrollment IDI20220408000542
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 12

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
46 services36 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.
32 services24 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.
25 services24 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
20 services19 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
20 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02144 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
$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 20

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

Nurse Practitioner
40 HOLLAND ST
SOMERVILLE, MA 02144
Physician Assistant (Medical)
40 HOLLAND ST
SOMERVILLE, MA 02144
Physician Assistant
40 HOLLAND ST
SOMERVILLE, MA 02144
Dietitian, Registered
40 HOLLAND ST, NUTRITION
SOMERVILLE, MA 02144
Nurse Practitioner (Family)
40 HOLLAND ST
SOMERVILLE, MA 02144
Technician/Technologist (Optician)
40 HOLLAND ST
SOMERVILLE, MA 02144
Nurse Practitioner
40 HOLLAND ST
SOMERVILLE, MA 02144
Dentist (General Practice)
40 HOLLAND ST
SOMERVILLE, MA 02144

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 Claudia Ma's NPI number?

The NPI number for Claudia Ma is 1790245041. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Claudia Ma located?

Claudia Ma practices at 40 Holland St, Somerville, MA 02144. The listed phone number is (617) 629-6000.

What is Claudia Ma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Claudia Ma enrolled in Medicare?

Yes. Claudia Ma 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 Claudia Ma accept?

Health plans from Anthem Blue Cross and Blue Shield list Claudia Ma 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 Claudia Ma was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.