ETHAN S BRACKETT M.D.
NPI 1912970633
Family Medicine in Boston, MA

Q: What is Ethan Brackett's NPI number?

The NPI number for Ethan Brackett is 1912970633. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is Ethan Brackett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ethan Brackett was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment

1340 BOYLSTON ST, BOSTON, MA 02215(617) 247-7555(617) 421-9871 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ethan S Brackett M.d. NPPES

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

ETHAN S BRACKETT M.D. (NPI 1912970633) is an individual family medicine provider in Boston, Massachusetts, licensed in Massachusetts (209141) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Medical Center, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1912970633

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameETHAN S BRACKETTCredential: M.D.

Location Address1340 BOYLSTON STBoston, MA 02215-4302

Mailing Address1340 Boylston StBoston, MA 02215-4302 · (617) 247-7555 · Fax (617) 421-9871

Phone(617) 247-7555

Fax(617) 421-9871

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateFebruary 13, 2006

Last NPPES UpdateSeptember 17, 2024

NPPES CertifiedSeptember 17, 2024

✔ NPI 1912970633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MA · 209141

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.

1340 BOYLSTON ST, Boston, MA 02215

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Secondary Practice Location 1

Location 1142 Berkeley StBoston, MA 02116-5100 · Phone (617) 247-7555

Other Identifiers 1

Medicaid0145670MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Ethan S Brackett 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 ID5193986685

PECOS Enrollment IDI20120410000260

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

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

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220086

Location330 Brookline AvenueBoston, MA 02215 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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.

FENWAY COMMUNITY HEALTH CENTER, INC

Clinic/Center (Federally Qualified Health Center (FQHC))