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GERRY HEARN
NPI 1003390436
Social Worker - Clinical in North Smithfield, RI

Active since September 21, 2018PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
63 EDDIE DOWLING HWY STE 8, NORTH SMITHFIELD, RI 02896(781) 666-2711 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2026, Aug 12, 2025, Sep 21, 2018 (3 updates tracked since 2018).

About Gerry Hearn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERRY HEARN (NPI 1003390436) is an individual clinical provider in North Smithfield, Rhode Island, licensed in Rhode Island (ISW04511) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cranston, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1003390436
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameGERRY HEARN
Location Address63 EDDIE DOWLING HWY STE 8North Smithfield, RI 02896-7322
Mailing Address63 Eddie Dowling Hwy Ste 8North Smithfield, RI 02896-7322 · (781) 666-2711
Phone(781) 666-2711
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 21, 2018
Last NPPES UpdateMarch 13, 20263 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1003390436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in RI · ISW04511
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
63 EDDIE DOWLING HWY STE 8, North Smithfield, RI 02896
Open in Google Maps ↗

Secondary Practice Location 1

Location 11150 Reservoir Ave Ste 203Cranston, RI 02920-6032 · Phone (401) 259-0340 · Fax (401) 213-8538

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gerry Hearn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860737855
PECOS Enrollment IDI20181219002299, I20250808002652
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02896 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA BURL LCSW
Social Worker (Clinical)
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (781) 666-2711
KARA MARIE KARP LMHC
Counselor (Mental Health)
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (781) 666-2711
EVANS AGYEMANG DUAH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (781) 666-2711
WHITNEY OGBO
Nurse Practitioner (Psychiatric/Mental Health)
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (781) 666-2711
OLGA B ZAFFINO
Nurse Practitioner (Psychiatric/Mental Health)
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (781) 666-2711
MR. JOHN DOUGLAS MCDONALD JR. M.A., LPC
Counselor (Mental Health)
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (781) 666-2711
LEAP SOK
Social Worker (Clinical)
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (781) 666-2711
SPECTRUM NEURO BEHAVIORAL CARE LLC
Community/Behavioral Health
63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD, RI 02896
Providence County (508) 816-7276

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerry Hearn's NPI number?

The NPI number for Gerry Hearn is 1003390436. It was assigned to this individual provider in the NPPES registry on September 21, 2018.

Where is Gerry Hearn located?

Gerry Hearn practices at 63 Eddie Dowling Hwy Ste 8, North Smithfield, RI 02896. The listed phone number is (781) 666-2711.

What is Gerry Hearn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Gerry Hearn enrolled in Medicare?

Yes. Gerry Hearn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gerry Hearn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Gerry Hearn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gerry Hearn was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.