Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

John K Hultgren , PA

Physician Assistant โ€ข Webster, MA

Active NPI 1144816570 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

340 Thompson Rd
Webster, MA 015701509

Call 5089498988 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

340 Thompson Rd

Webster, MA 015701509

Telephone 5089498988
Fax 5089498487
Organization at the Same NPPES Address or Phone
Colonial Health Group- Tcu, Llc Facility NPI 1043207178

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Umass Memorial Medical Group Inc. 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

Graduation Year

2022

Medicare patients

143 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $17,000 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.

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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $10,862 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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 โ€“ by Provider and Service, 2024.

30-day fills

3,897 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

$157,563 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $61.13 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional 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

2020

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.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

John Hultgren 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists John Hultgren 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Webster and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.

Too few clinicians listed under Physician Assistant in Webster have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $19,073. Middle half: $6,686 to $39,911.

Too few clinicians listed under Physician Assistant in Webster have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $14,188. Middle half: $5,025 to $29,930.

Too few clinicians listed under Physician Assistant in Webster have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: 175. Middle half: 52 to 564.

Too few clinicians listed under Physician Assistant in Webster have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: $2,484. Middle half: $458 to $50,541.

Too few clinicians listed under Physician Assistant in Webster have Medicare Part D data for 2024 to compare.

3 active clinicians are listed under Physician Assistant with a practice address in Webster, MA (4,715 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $61.13.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Food and Beverage
In-kind items and services
VENASEAL General $61.13

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“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 โ€“ by Provider and Service data, 2022โ€“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
91 70 $445.00 $94.10
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
72 65 $300.00 $71.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
47 47 $389.00 $54.53
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
21 21 $47.00 $13.92
G0008 Administration of influenza virus vaccine
14 14 $86.00 $32.81

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.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 143 11,999 $2,037.42 68
Lisinopril Lisinopril 130 11,049 $1,121.71 56
Amlodipine Besylate Amlodipine Besylate 114 9,540 $673.13 42
Losartan Potassium Losartan Potassium 92 6,348 $850.18 34
Metformin Hcl Metformin Hcl 82 5,670 $661.48 32
Levothyroxine Sodium Levothyroxine Sodium 74 5,280 $558.77 30
Omeprazole Omeprazole 73 5,598 $840.10 25
Hydrochlorothiazide Hydrochlorothiazide 66 5,580 $310.87 31
Rosuvastatin Calcium Rosuvastatin Calcium 63 5,490 $1,603.91 31
Metoprolol Succinate Metoprolol Succinate 50 3,935 $778.61 20
Trulicity Dulaglutide 50 1,804 $60,500.36 โ€”
Pravastatin Sodium Pravastatin Sodium 43 3,256 $571.61 12
Gabapentin Gabapentin 42 1,741 $885.46 15
Simvastatin Simvastatin 41 2,491 $431.00 13
Tamsulosin Hcl Tamsulosin Hcl 40 3,366 $419.89 17
Albuterol Sulfate Hfa Albuterol Sulfate 34 934 $968.79 14
Metoprolol Tartrate Metoprolol Tartrate 33 2,740 $288.23 14
Pantoprazole Sodium Pantoprazole Sodium 31 2,230 $456.27 11
Farxiga Dapagliflozin Propanediol 30 1,920 $35,481.63 11
Ozempic Semaglutide 30 1,066 $35,725.94 โ€”
Fluoxetine Hcl Fluoxetine Hcl 29 1,245 $208.53 โ€”
Lorazepam Lorazepam 27 763 $160.14 14
Famotidine Famotidine 24 1,888 $146.34 โ€”
Atenolol Atenolol 23 1,530 $206.87 โ€”
Finasteride Finasteride 23 1,830 $204.42 โ€”

(top 25 shown)

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: 2024-10-08
Physician Assistant Primary Specialty

NUCC 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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20220803002867

Enrollment State Jurisdiction

MA

PECOS Control ID

4981086212

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Umass Memorial Medical Group Inc

340 Thompson Rd, Webster, MA 015701509

Phone: 5089435132

Umass Memorial Medical Group Inc

78 Sutton Ave, Oxford, MA 015401813

Phone: 5084991760

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Dipavo Banerjee , DO

Psychiatry & Neurology - Psychiatry

NPI 1356928972

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐Ÿ“
Updated Practice Location October 08, 2024

Registered at 340 THOMPSON RD, WEBSTER, MA 015701509 (Tel: 5089498988)

๐Ÿ“
Updated Business Mailing Address October 08, 2024

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

๐Ÿ“
Updated Practice Location September 20, 2022

Registered at 10 N MAIN ST, CHARLTON, MA 015071590 (Tel: 5082486780)

๐Ÿ“
Updated Business Mailing Address September 20, 2022

Registered at 10 N MAIN ST, CHARLTON, MA 015071590 (Tel: 5082486780)

โœ…
NPI Profile Active December 20, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) December 20, 2020

Registered at 16 SKYVIEW LN, WEBSTER, MA 015703237 (Tel: 5086357070)

๐Ÿ“
Business Mailing Address (Initial Record) December 20, 2020

Registered at 16 SKYVIEW LN, WEBSTER, MA 015703237 (Tel: 5086357070)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) December 20, 2020

Recorded as JOHN HULTGREN, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2020

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration December 20, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1144816570
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2020
Last Update: October 08, 2024
Sole Proprietor: Yes

Other Physician Assistants in Webster

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.