Alice Simcoe-Matthews , PA-C
Physician Assistant • Boston, MA
65 Allerton St
Boston, MA 021192901
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Alice Simcoe-Matthews is listed in NPPES under Physician Assistant.
-
NPI assigned on April 8, 2016; this date does not establish years in practice.
-
Published CMS data list 53 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Published rows only; this is not a quality measure.
-
Published Part B service records, 2023:
- 99214 — Established patient outpatient office visit: 22 service units.
- 99203 — New patient outpatient office visit: 16 service units.
- 99213 — Established patient outpatient office visit: 15 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See the full table · Guide: How to read Medicare Part B data
-
Published CMS data list 43 Medicare Part D prescriptions, including refills, in 2019.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Published rows only; this is not a quality measure.
-
Published Part D records, 2019:
- Azithromycin — 15 prescription fills, including refills.
- Cephalexin — 15 prescription fills, including refills.
- Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) — 13 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
-
Medicare Part B services went from 247 in 2019 to 53 in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2023.
Practice Location & Contact Primary Location
65 Allerton St
Boston, MA 021192901
NPPES lists 1 additional practice-address record in Framingham, MA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $5,405 in 2023
The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023.
Paid by Medicare
About $3,922 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023.
30-day fills
43 standardized 30-day fills in 2019
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$356 in 2019
The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
NPI first issued
2016
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Alice Simcoe-Matthews has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Alice Simcoe-Matthews as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Boston and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Alice Simcoe-Matthews are from 2023.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Alice Simcoe-Matthews are from 2019.
1,660 active clinicians are listed under Physician Assistant with a practice address in Boston, MA (4,715 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Boston
15.4% of these 1,660 clinicians have the CMS telehealth indicator.
57.1% of these 1,660 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services decreased 79% from 247 in 2019 to 53 in 2023.
- 2019: 247
- 2020: 41
- 2021: 50
- 2022: 71
- 2023: 53
-
Medicare-allowed amount
Medicare-allowed amount decreased 75% from $21,843 in 2019 to $5,405 in 2023.
- 2019: $21,843
- 2020: $5,345
- 2021: $5,350
- 2022: $6,211
- 2023: $5,405
-
Paid by Medicare
Paid by Medicare decreased 71% from $13,514 in 2019 to $3,922 in 2023.
- 2019: $13,514
- 2020: $3,689
- 2021: $3,851
- 2022: $5,170
- 2023: $3,922
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 19% from 36 in 2017 to 43 in 2019.
- 2017: 36
- 2018: 69
- 2019: 43
-
30-day fills
30-day fills increased 19% from 36 in 2017 to 43 in 2019.
- 2017: 36
- 2018: 69
- 2019: 43
-
Part D drug cost
Part D drug cost went from $485 in 2017 to $356 in 2019.
- 2017: $485
- 2018: $945
- 2019: $356
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
22 | 22 | $215.23 | $114.15 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
16 | 16 | $213.60 | $102.55 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
15 | 15 | $152.71 | $83.50 |
Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2019.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Azithromycin | Azithromycin | 15 | 71 | $88.47 | 14 |
| Cephalexin | Cephalexin | 15 | 93 | $82.53 | 14 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 13 | 71 | $185.04 | 12 |
Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-11-17NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20160614001337
MA
7719278266
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
236 Cochituate Rd
Framingham, MA 017014627
Phone: 7742443227
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Physician Assistant (license number reported to NPPES: MA PA5663)
Registered at 65 ALLERTON ST, BOSTON, MA 021192901 (Tel: 6175175315)
Registered at 65 ALLERTON ST, BOSTON, MA 021192901 (Tel: 6175175315)
NPI status registered as active in NPPES database
Registered at 11 MOUNT AUBURN ST, WATERTOWN, MA 024723923 (Tel: 8889800505)
Registered at 11 MOUNT AUBURN ST, WATERTOWN, MA 024723923 (Tel: 8889800505)
Recorded as ALICE SIMCOE-MATTHEWS, PA-C
Physician Assistant (license number reported to NPPES: None PA5663)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Boston
- Charles Mininger
- Christiana Harden, PA
- Eric Burfeind, PA-C
- Denise Gilligan, PA-C
- Lindsay Ophel, PA-C
- Fiona Donegan, PA-C
Mailing Address
65 Allerton St
Boston, MA 021192901
Phone: 6175175315