Griffin Boedicker
NPI 1417724246 · Surgical Physician Assistant · Newton, MA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Griffin Boedicker is a Surgical Physician Assistant provider in Newton, MA (NPI 1417724246).
Provider details
- NPI number
- 1417724246
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 136 Harrison Ave Fl 5Boston, MA 02111-1800Phone: (617) 636-7000
Registry dates
- Enumerated
- 2023-12-12
- Last updated
- 2025-02-26
- Certified
- 2025-02-26
Frequently asked questions
- What is Griffin Boedicker's NPI number?
- Griffin Boedicker's National Provider Identifier (NPI) is 1417724246, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Griffin Boedicker's specialty?
- Griffin Boedicker is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Griffin Boedicker located?
- Griffin Boedicker's practice location on file with NPPES is 159 Wells Ave Ste 500, Newton, MA 02459-3301.
- What is Griffin Boedicker's phone number?
- The practice phone number listed in the NPPES registry for Griffin Boedicker is (617) 965-4263.
- Does Griffin Boedicker accept Medicare?
- Griffin Boedicker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Griffin Boedicker's NPI active?
- Yes — Griffin Boedicker's NPI (1417724246) is active in the NPPES registry as of the last update on 2025-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.