HEATHER L ELIAS M.D.
NPI 1023208162
Internal Medicine - Endocrinology, Diabetes & Metabolism in Worcester, MA
About Heather L Elias M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER L ELIAS M.D. (NPI 1023208162) is an individual endocrinology, diabetes & metabolism provider in Worcester, Massachusetts, licensed in Massachusetts (232287) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of University Of Vermont College Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Heather L Elias M.d. 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Shore Medical Center -
Acute Care Hospitals · Salem, MAMassachusetts General Hospital
Acute Care Hospitals · Boston, MANewton-Wellesley Hospital
Acute Care Hospitals · Newton, MABrigham And Women's Hospital
Acute Care Hospitals · Boston, MAWentworth-Douglass Hospital
Acute Care Hospitals · Dover, NHPhysician 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.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WORCESTER, MA 01655
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 Heather Elias's NPI number?
The NPI number for Heather Elias is 1023208162. It was assigned to this individual provider in the NPPES registry on July 25, 2007.
Where is Heather Elias located?
Heather Elias practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-3239.
What is Heather Elias's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Heather Elias enrolled in Medicare?
Yes. Heather Elias 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 Heather Elias accept?
Health plans from Anthem Blue Cross and Blue Shield list Heather Elias 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.
Is Heather Elias affiliated with any hospitals?
According to CMS data, Heather Elias is affiliated with North Shore Medical Center -, Massachusetts General Hospital, Newton-Wellesley Hospital, Brigham And Women's Hospital and Wentworth-Douglass Hospital.
When was this NPI record last updated?
The NPPES record for Heather Elias was last updated on August 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.
