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Nicholas A Vitale , PA

Physician Assistant โ€ข Worcester, MA

Active NPI 1801396262 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

123 Summer St Ste 521
Worcester, MA 016081216

Call 5088520600 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

123 Summer St Ste 521

Worcester, MA 016081216

Telephone 5088520600
Fax 5083683146
Organization at the Same NPPES Address or Phone
Reliant Medical Group, Inc Facility NPI 1003951260

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

NPPES lists 2 distinct additional practice-address records in Brockton, MA; Worcester, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Bmc Affiliated Physicians, Inc.; Sturdy Health 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

2018

Medicare patients

313 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 $57,405 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 $45,428 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.

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

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 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

2018

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)

Nicholas Vitale 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 Nicholas Vitale 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 75% of clinicians listed under Physician Assistant in Worcester, MA (2024, 226 clinicians with data). Median for this group: 174. Middle half: 98 to 364.

More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% 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 $28,338.

A higher Medicare-allowed amount than 85% of 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.

Paid by Medicare

A higher Medicare payment amount than 90% 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 $21,469.

A higher Medicare payment amount than 85% of 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.

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

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

Telehealth indicator in Worcester

15.8% of these 425 clinicians have the CMS telehealth indicator.

69.4% of these 425 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (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 2020โ€“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, 2021โ€“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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
131 127 $335.00 $109.74
99292 Critical care, each additional 30 minutes
113 52 $408.00 $88.99
99291 Critical care, first 30-74 minutes
95 66 $859.00 $176.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
63 63 $495.90 $145.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
50 44 $319.96 $99.36
99239 Hospital discharge day management, more than 30 minutes
21 21 $325.00 $96.40

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.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MA PA6556

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
11014179A (MA)

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

I20180830001702

Enrollment State Jurisdiction

MA

PECOS Control ID

9931459682

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

Sturdy Health Inc

211 Park St, Attleboro, MA 027033143

Phone: 5082367901

Bmc Affiliated Physicians, Inc.

235 N Pearl St, Brockton, MA 023011794

Phone: 5084273000

Secondary Practice Locations

55 Lake Ave N

Worcester, MA 016550002

Phone: 7744437552

235 North Pearl St

Brockton, MA 02301

Phone: 5084273000

Clinicians Sharing This Practice Address or Phone

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

16 listed
Naomi Baidoo , PA-C

Physician Assistant

NPI 1275287815

Physician Assistant (Certified)

Jamee Bresee , PA-C

Physician Assistant

NPI 1992364301

Physician Assistant (Certified)

Courtney Brown , PA-C

Physician Assistant

NPI 1275928418

Physician Assistant (Certified)

NPI 1669451464

Doctor of Medicine (M.D.)

Dr. David Degrand , MD

Internal Medicine

NPI 1831174416

Doctor of Medicine (M.D.)

Dr. Maria Dibner , MD, MPH

Psychiatry & Neurology - Neurology

NPI 1578792842

Doctor of Medicine (M.D.), Master of Public Health

Career & Practice History Timeline

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

11 Historical Events
๐Ÿ“
Updated Practice Location January 12, 2021

Registered at 123 SUMMER ST STE 521, WORCESTER, MA 016081216 (Tel: 5088520600)

๐Ÿ“
Updated Business Mailing Address January 12, 2021

Registered at 123 SUMMER ST STE 521, WORCESTER, MA 016081216 (Tel: 5088520600)

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

Physician Assistant (license number reported to NPPES: MA PA6556)

๐Ÿ“
Updated Practice Location January 11, 2021

Registered at 123 SUMMER ST, WORCESTER, MA 016081216 (Tel: 5088520600)

๐Ÿ“
Updated Business Mailing Address January 11, 2021

Registered at 630 PLANTATION ST, WORCESTER, MA 016052038

โœ…
NPI Profile Active February 12, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) February 12, 2018

Registered at 14 THOMAS RD, LAWRENCE, MA 018433227 (Tel: 9788524834)

๐Ÿ“
Business Mailing Address (Initial Record) February 12, 2018

Registered at 14 THOMAS RD, LAWRENCE, MA 018433227 (Tel: 9788524834)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) February 12, 2018

Recorded as NICHOLAS VITALE, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2018

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration February 12, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1801396262
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2018
Last Update: March 06, 2025
Sole Proprietor: No

Other Physician Assistants in Worcester

All Physician Assistants in Worcester

Mailing Address

123 Summer St Ste 521

Worcester, MA 016081216

Phone: 5088520600

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.