Sandra Lee Usher , CNP
Nurse Practitioner • Chelmsford, MA
1 Meeting House Rd, Suite 8
Chelmsford, MA 018242733
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on November 2, 2007; this date does not establish years in practice.
-
Published CMS data list 550 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 118 service units.
- 87636 — Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b: 83 service units.
- 99213 — Established patient outpatient office visit: 82 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 10 records in the table · Guide: How to read Medicare Part B data
-
Published CMS data list 358 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Doxycycline Monohydrate — 67 prescription fills, including refills.
- Cephalexin — 58 prescription fills, including refills.
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) — 48 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 11 records in the table · Guide: How to read Medicare Part D prescriber data
-
Fewer Medicare Part B services than 60% of clinicians listed under Nurse Practitioner in Chelmsford, MA (2024, 12 clinicians with data). Median for this group: 709. Middle half: 226 to 1,229.
More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: 293. Middle half: 113 to 625.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 232 in 2020 to 550 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1 Meeting House Rd
Suite 8
Chelmsford, MA 018242733
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Circle Health Urgent Care Llc; Urgent Help Chelmsford Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2007
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
365 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $51,628 in 2024
The total amount Medicare approved for these services in 2024. 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, 2024.
Paid by Medicare
About $39,677 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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, 2024.
30-day fills
361 standardized 30-day fills in 2024
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
$3,806 in 2024
The total cost of these prescriptions in 2024, 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, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
Years since graduation
19 years (graduated 2007)
CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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)
Sandra Usher 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 Sandra Usher 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 Chelmsford and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 60% of clinicians listed under Nurse Practitioner in Chelmsford, MA (2024, 12 clinicians with data). Median for this group: 709. Middle half: 226 to 1,229.
More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: 293. Middle half: 113 to 625.
Medicare-allowed amount
A lower Medicare-allowed amount than 60% of clinicians listed under Nurse Practitioner in Chelmsford, MA (2024, 12 clinicians with data). Median for this group: $59,629. Middle half: $22,386 to $112,136.
A higher Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: $24,187. Middle half: $9,751 to $49,233.
Paid by Medicare
A lower Medicare payment amount than 60% of clinicians listed under Nurse Practitioner in Chelmsford, MA (2024, 12 clinicians with data). Median for this group: $47,472. Middle half: $16,984 to $80,132.
A higher Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: $18,312. Middle half: $7,110 to $37,062.
Medicare Part D prescriptions
Fewer Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Chelmsford, MA (2024, 14 clinicians with data). Median for this group: 1,135. Middle half: 480 to 4,033.
Close to the middle for clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,589 clinicians with data). Median for this group: 330. Middle half: 89 to 1,072.
Part D drug cost
A lower Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Chelmsford, MA (2024, 14 clinicians with data). Median for this group: $68,156. Middle half: $13,649 to $203,634.
A lower Part D drug cost than 65% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,589 clinicians with data). Median for this group: $25,224. Middle half: $1,758 to $161,316.
17 active clinicians are listed under Nurse Practitioner with a practice address in Chelmsford, MA (3,483 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Chelmsford
11.8% of these 17 clinicians have the CMS telehealth indicator.
82.4% of these 17 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 increased 137% from 232 in 2020 to 550 in 2024.
- 2020: 232
- 2021: 228
- 2022: 404
- 2023: 523
- 2024: 550
-
Medicare-allowed amount
Medicare-allowed amount increased 110% from $24,614 in 2020 to $51,628 in 2024.
- 2020: $24,614
- 2021: $23,672
- 2022: $42,095
- 2023: $49,587
- 2024: $51,628
-
Paid by Medicare
Paid by Medicare increased 109% from $19,004 in 2020 to $39,677 in 2024.
- 2020: $19,004
- 2021: $18,517
- 2022: $33,673
- 2023: $38,901
- 2024: $39,677
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 137% from 151 in 2020 to 358 in 2024.
- 2020: 151
- 2021: 224
- 2022: 224
- 2023: 261
- 2024: 358
-
30-day fills
30-day fills increased 139% from 151 in 2020 to 361 in 2024.
- 2020: 151
- 2021: 225
- 2022: 224
- 2023: 263
- 2024: 361
-
Part D drug cost
Part D drug cost increased 148% from $1,538 in 2020 to $3,806 in 2024.
- 2020: $1,538
- 2021: $2,988
- 2022: $2,657
- 2023: $3,247
- 2024: $3,806
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), 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 2016–2023 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, 2017–2024; 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
|
118 | 114 | $358.00 | $117.93 |
|
87636
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b
|
83 | 81 | $250.00 | $138.80 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
82 | 79 | $244.00 | $84.50 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
60 | 60 | $357.00 | $101.61 |
|
81002
Urinalysis, manual test
|
54 | 51 | $9.00 | $3.41 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
48 | 48 | $480.00 | $166.29 |
|
87651
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique
|
37 | 36 | $97.92 | $34.39 |
|
99202
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
|
33 | 33 | $252.00 | $66.71 |
|
93005
Routine electrocardiogram (ecg) using at least 12 leads with tracing
|
22 | 21 | $28.00 | $7.34 |
|
99284
Emergency department visit with moderate level of medical decision making
|
13 | 13 | $596.00 | $104.97 |
Source: CMS Part B by Provider and Service, 2024; 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 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Doxycycline Monohydrate | Doxycycline Monohydrate | 67 | 681 | $695.94 | 67 |
| Cephalexin | Cephalexin | 58 | 442 | $329.54 | 58 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 48 | 423 | $351.45 | 47 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 44 | 1,198 | $1,353.72 | 38 |
| Tizanidine Hcl | Tizanidine Hcl | 32 | 240 | $93.04 | 31 |
| Prednisone | Prednisone | 27 | 155 | $75.84 | 27 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 23 | 161 | $288.78 | 22 |
| Amoxicillin | Amoxicillin | 19 | 190 | $52.17 | 19 |
| Oxycodone Hcl | Oxycodone Hcl | 14 | 51 | $48.38 | 14 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 13 | 255 | $65.55 | 13 |
| Ofloxacin | Ofloxacin | 13 | 152 | $451.16 | 13 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-08-15NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LF0000X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20071212000436
MA
4688764848
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Circle Health Urgent Care Llc
9 Loon Hill Rd, Dracut, MA 018264365
Phone: 9783235900
Circle Health Urgent Care Llc
198 Littleton Rd, Westford, MA 018863429
Phone: 9783230302
Circle Health Urgent Care Llc
199 Boston Rd, North Billerica, MA 018622328
Phone: 9783232850
Circle Health Urgent Care Llc
1574 Main St, Tewksbury, MA 018762067
Phone: 9783235945
Urgent Help Chelmsford Pc
45 Drum Hill Rd, Chelmsford, MA 018241503
Phone: 9784467515
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1 MEETING HOUSE RD, SUITE 8, CHELMSFORD, MA 018242733 (Tel: 9782562296)
Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5084211400)
Registered at PO BOX 415348, BOSTON, MA 022415348
Recorded as SANDRA USHER, CNP
NPI status registered as active in NPPES database
Registered at 1 MEETING HOUSE RD, SUITE 8, CHELMSFORD, MA 018242733 (Tel: 9782562296)
Registered at 1 MEETING HOUSE RD, SUITE 8, CHELMSFORD, MA 018242733 (Tel: 9782562296)
Recorded as SANDRA USHER, NP
Nurse Practitioner (license number reported to NPPES: MA 196446)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Chelmsford
- Elisabeth Lowney, NP
- Veronica Barboza, APRN FNP-BC
- Colleen Wilson, NP
- Holly Powderly, NP
- Brittany Czerw
- Lelia Magoba, APRN, CNP
Mailing Address
Po Box 415348
Boston, MA 022415348