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DR. MERNA KAREN MATILSKY M.D.
NPI 1881614113
Family Medicine in Boca Raton, FL

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
2900 N MILITARY TRL # 245, SUITE 245, BOCA RATON, FL 33431(561) 994-2007(561) 994-2003 Get Directions Write a Review

NPPES record last updated: February 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Merna Karen Matilsky M.d. NPPES

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

DR. MERNA KAREN MATILSKY M.D. (NPI 1881614113) is an individual family medicine provider in Boca Raton, Florida, licensed in Florida (0076956) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and is a graduate of Medical College Of Pennsylvania (1979).

NPPES Registry Identity

NPI1881614113
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MERNA KAREN MATILSKYCredential: M.D.
Location Address2900 N MILITARY TRL # 245, SUITE 245Boca Raton, FL 33431-6365
Mailing Address2900 N Military Trl # 245, Suite 245Boca Raton, FL 33431-6365 · (561) 994-2007 · Fax (561) 994-2003
Phone(561) 994-2007
Fax(561) 994-2003
Sole ProprietorYes
Medical School CMSMedical College Of PennsylvaniaGraduated 1979
Enumeration DateJuly 20, 2006
Last NPPES UpdateFebruary 28, 2012
✔ NPI 1881614113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · 0076956
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.
2900 N MILITARY TRL # 245, Boca Raton, FL 33431
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Other Identifiers 2

Medicare ID-Type UnspecifiedE5511YFL · Individual Medicare Numbe
Medicare UPINH36403

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Dr. Merna Karen Matilsky 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 ID3173598521
PECOS Enrollment IDI20040830000226
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

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.

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.
24 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100258
Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33431 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
89%47 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
2 suppliers16 claims480 services$4.76 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with flange (2 piece), each A5054
DME-Orthotic Devices · category DF010N
2 suppliers13 claims1,080 services$1.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Merna Matilsky's NPI number?

The NPI number for Merna Matilsky is 1881614113. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Merna Matilsky located?

Merna Matilsky practices at 2900 N Military Trl # 245 Suite 245, Boca Raton, FL 33431. The listed phone number is (561) 994-2007.

What is Merna Matilsky's specialty?

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

Is Merna Matilsky enrolled in Medicare?

Yes. Merna Matilsky 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 Merna Matilsky accept?

Health plans from UnitedHealthcare list Merna Matilsky 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 Merna Matilsky affiliated with any hospitals?

According to CMS data, Merna Matilsky is affiliated with Boca Raton Regional Hospital and Delray Medical Center.

When was this NPI record last updated?

The NPPES record for Merna Matilsky was last updated on February 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.