Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Courtney Lynne Pilon , PA-C

Physician Assistant โ€ข Worcester, MA

Active NPI 1376127670 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

281 Lincoln St
Worcester, MA 016052138

Call 5083345979 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

281 Lincoln St

Worcester, MA 016052138

Telephone 5083345979
Organization at the Same NPPES Address or Phone
A Jerome Philbin M.d., P.c. Facility NPI 1659319143

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

2021

Medicare patients

591 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 $91,776 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 $64,351 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

824 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

$23,116 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)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 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

2021

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

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Courtney Pilon 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 Courtney Pilon 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 Worcester and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Worcester, MA (2024, 226 clinicians with data). Median for this group: 174. Middle half: 98 to 369.

More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,135 clinicians with data). Median for this group: 221. Middle half: 79 to 553.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Worcester, MA (2024, 226 clinicians with data). Median for this group: $15,866. Middle half: $8,187 to $28,519.

A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,135 clinicians with data). Median for this group: $18,958. Middle half: $6,655 to $39,718.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Worcester, MA (2024, 226 clinicians with data). Median for this group: $11,961. Middle half: $6,077 to $21,527.

A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,135 clinicians with data). Median for this group: $14,124. Middle half: $5,007 to $29,801.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Worcester, MA (2024, 189 clinicians with data). Median for this group: 141. Middle half: 47 to 509.

More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,246 clinicians with data). Median for this group: 175. Middle half: 52 to 562.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Worcester, MA (2024, 189 clinicians with data). Median for this group: $2,123. Middle half: $412 to $26,360.

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,246 clinicians with data). Median for this group: $2,475. Middle half: $458 to $50,611.

425 active clinicians are listed under Physician Assistant with a practice address in Worcester, MA (4,768 in Massachusetts).

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

Telehealth indicator in Worcester

15.5% of these 425 clinicians have the CMS telehealth indicator.

68.9% of these 425 clinicians are listed by CMS as accepting Medicare assignment.

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 ยท Report an error.

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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
543 438 $300.00 $66.89
17003 Destruction of precancer skin growth, 2-14 growths
462 109 $59.00 $3.82
11102 Biopsy of related skin growth, first growth
213 184 $462.00 $49.64
17000 Destruction of precancer skin growth, 1 growth
207 166 $264.00 $42.59
17110 Destruction of skin growth, 1-14 growths
166 145 $393.75 $80.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
165 148 $445.00 $94.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
106 96 $178.00 $39.27
11103 Biopsy of related skin growth, each additional growth
43 34 $249.00 $29.65

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
Ketoconazole Ketoconazole 178 5,825 $3,084.92 80
Fluorouracil Fluorouracil 104 3,007 $5,240.21 94
Triamcinolone Acetonide Triamcinolone Acetonide 85 2,616 $889.10 62
Clobetasol Propionate Clobetasol Propionate 70 1,928 $6,011.30 40
Mupirocin Mupirocin 41 671 $278.15 34
Clindamycin Phosphate Clindamycin Phosphate 38 1,190 $1,238.09 19
Doxycycline Monohydrate Doxycycline Monohydrate 32 964 $455.92 17
Tretinoin Tretinoin 31 990 $1,215.49 11
Hydrocortisone Hydrocortisone 23 572 $97.49 14
Minoxidil Minoxidil 20 1,557 $123.43 โ€”
Fluocinonide Fluocinonide 17 555 $925.89 11
Betamethasone Dipropionate Betamethasone Dipropionate 17 454 $971.21 โ€”
Spironolactone Spironolactone 15 785 $448.86 โ€”
Azelaic Acid Azelaic Acid 14 420 $677.85 โ€”
Hydroxyzine Hcl Hydroxyzine Hcl 12 461 $139.31 โ€”
Betamethasone Diprop Augmented Betamethasone/Propylene Glyc 12 333 $967.12 โ€”
Metronidazole Metronidazole 11 330 $351.78 โ€”

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: 2021-09-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MA PA8100

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.

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

I20210924002790

Enrollment State Jurisdiction

MA

PECOS Control ID

0042617581

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

201 Highland St, Clinton, MA 015101037

Phone: 9783683731

Umass Memorial Medical Group Inc

154 E Main St, Westborough, MA 015811764

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Umass Memorial Medical Group Inc

281 Lincoln St, Worcester, MA 016052138

Phone: 5083341000

Clinicians Sharing This Practice Address or Phone

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

30 listed
Dr. Andressa Akabane , MD MMSC

Student in an Organized Health Care Education/Training Program

NPI 1942903265

MDMMSC

NPI 1356376461

Doctor of Medicine (M.D.)

NPI 1598814311

Doctor of Medicine (M.D.)

Jessica Cosenza , PA

Physician Assistant

NPI 1992895189

Physician Assistant

NPI 1821731381

MDMS

Elizabeth Gingras , PA

Physician Assistant

NPI 1437620317

Physician Assistant

Career & Practice History Timeline

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

10 Historical Events
๐Ÿ“
Updated Business Mailing Address September 20, 2021

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

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2021

Physician Assistant (license number reported to NPPES: MA PA8100)

๐Ÿ“
Updated Practice Location August 05, 2021

Registered at 281 LINCOLN ST, WORCESTER, MA 016052138 (Tel: 5083345979)

๐Ÿ“
Updated Business Mailing Address August 05, 2021

Registered at 281 LINCOLN ST, WORCESTER, MA 016052138 (Tel: 5083345979)

โœ…
NPI Profile Active May 12, 2021

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 12, 2021

Registered at 32 ELDRIDGE DR, NORTH ATTLEBORO, MA 027604172 (Tel: 4133740208)

๐Ÿ“
Business Mailing Address (Initial Record) May 12, 2021

Registered at 32 ELDRIDGE DR, NORTH ATTLEBORO, MA 027604172 (Tel: 4133740208)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 12, 2021

Recorded as COURTNEY PILON, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2021

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration May 12, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376127670
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2021
Last Update: September 20, 2021
Sole Proprietor: No

Other Physician Assistants in Worcester

All Physician Assistants in Worcester

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.