NICHOLAS CHARLES FASANO MD
NPI 1013932292
Radiology - Diagnostic Radiology in Worcester, MA

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE NORTH, WORCESTER, MA 01655(508) 334-3850 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 29, 2026, Jan 14, 2026, Nov 13, 2024 and 4 more (7 updates tracked since 2016).

About Nicholas Charles Fasano Md NPPES

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

NICHOLAS CHARLES FASANO MD (NPI 1013932292) is an individual diagnostic radiology provider in Worcester, Massachusetts, licensed in Pennsylvania (MD428992) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 10 additional practice locations, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2001).

NPPES Registry Identity

NPI1013932292
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameNICHOLAS CHARLES FASANOCredential: MD
Location Address55 LAKE AVE NORTHWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2001
Enumeration DateJuly 12, 2006
Last NPPES UpdateJanuary 29, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1013932292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in PA · MD428992✔ Licensed in MA · 1018905✔ Licensed in MD · D0087818
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
55 LAKE AVE NORTH, Worcester, MA 01655

Secondary Practice Locations 10

Location 135 Monument Rd Ste 201York, PA 17403-5074 · Phone (717) 812-4083
Location 222 S GREENE ST, DEPT OF RADIOLOGYBALTIMORE, MD 21201-1544 · Phone (410) 328-3477
Location 3169 Martin AveEphrata, PA 17522-1734 · Phone (717) 738-6414
Location 414781 Wolfe RdNew Freedom, PA 17015-8011 · Phone (717) 674-7600
Location 536 Robinhood DrEtters, PA 17319-9528 · Phone (717) 388-7300
Location 6147 Gettys StGettysburg, PA 17325-2534 · Phone (717) 337-4207
Location 735 Erick RdLancaster, PA 17601-3111 · Phone (717) 690-0785
Location 8112 N 7th StChambersburg, PA 17201-1720 · Phone (717) 262-4499
Location 91201 Letort Springs WayCarlisle, PA 17015-8011 · Phone (717) 674-7600
Location 10252 S 4th StLebanon, PA 17042-6111 · Phone (717) 270-7732

Other Identifiers 3

Medicaid072163821DC
Medicaid1017198590001PA
Medicaid887303800MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Charles Fasano Md 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 ID9830194257
PECOS Enrollment IDI20060919000004
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Nicholas Fasano reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
Diagnostic Radiology
55 LAKE AVE N # S2-824, RADIOLOGY DEPARTMENT ADMINISTRATION
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts and Pennsylvania enrollments
  • 169 clinicians in this Medicare group
Family Medicine
4541 MILFORD RD
East Stroudsburg, PA 18302
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
Diagnostic Radiology
1200 S CEDAR CREST BLVD
Allentown, PA 18103
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 122 clinicians in this Medicare group
Primary Care
30 W SWARTZVILLE RD
Reinholds, PA 17569
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
Diagnostic Radiology
419 W REDWOOD ST, SUITE 110
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 122 clinicians in this Medicare group
Diagnostic Radiology
22 S GREENE ST, DEPARTMENT OF RADIOLOGY
Baltimore, MD 21201
  • Reassigned Medicare billing, District of Columbia enrollment
  • 140 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 27

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
185 services177 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
112 services111 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
92 services90 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
71 services71 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
47 services47 patients
3d radiographic procedure 76376
A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%42 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Orthopaedic Surgery
55 LAKE AVE NORTH
WORCESTER, MA 01655
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
Emergency Medicine
55 LAKE AVE NORTH, DEPARTMENT OF EMERGENCY MEDICINE
WORCESTER, MA 01655
Radiology (Diagnostic Radiology)
55 LAKE AVE NORTH
WORCESTER, MA 01655
General Acute Care Hospital (Critical Access)
55 LAKE AVE NORTH
WORCESTER, MA 01655

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 Nicholas Fasano's NPI number?

The NPI number for Nicholas Fasano is 1013932292. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Nicholas Fasano located?

Nicholas Fasano practices at 55 Lake Ave North, Worcester, MA 01655. The listed phone number is (508) 334-3850.

What is Nicholas Fasano's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nicholas Fasano enrolled in Medicare?

Yes. Nicholas Fasano 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.

Which organizations bill Medicare for Nicholas Fasano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Fasano reassigns Medicare benefits to 7 organizations: Umass Memorial Medical Group Inc (Worcester, MA), Umass Memorial Radiology Phys Serv (Worcester, MA), Lehigh Valley Physician Group (East Stroudsburg, PA), Medical Imaging Of Lehigh Valley PC (Allentown, PA), Wellspan Medical Group (Reinholds, PA) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Fasano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Fasano was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.