TERENCE J MCGOVERN MD
NPI 1033158035
Internal Medicine - Critical Care Medicine in Fall River, MA

Q: What is Terence Mcgovern's NPI number?

The NPI number for Terence Mcgovern is 1033158035. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Terence Mcgovern's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Terence Mcgovern was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment

1030 PRESIDENT AVE, SUITE 210, FALL RIVER, MA 02720(508) 973-1780(508) 973-0359 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2020, Feb 12, 2016 (2 updates tracked since 2016).

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About Terence J Mcgovern Md NPPES

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

TERENCE J MCGOVERN MD (NPI 1033158035) is an individual critical care medicine provider in Fall River, Massachusetts, licensed in Massachusetts (150986) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Harvard Medical School (1994).

NPPES Registry Identity

NPI1033158035

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameTERENCE J MCGOVERNCredential: MD

Location Address1030 PRESIDENT AVE, SUITE 210Fall River, MA 02720-5923

Mailing Address200 Mill Rd, Suite 180Fairhaven, MA 02719-5252 · (508) 973-2000 · Fax (508) 973-2001

Phone(508) 973-1780

Fax(508) 973-0359

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 1994

Enumeration DateJune 5, 2006

Last NPPES UpdateJanuary 22, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2025

✔ NPI 1033158035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in MA · 150986

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 150986 (MA)

1030 PRESIDENT AVE, Fall River, MA 02720

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Other Identifiers 2

Medicaid1033158RI

Medicaid110057936AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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

Terence J Mcgovern 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 ID5597744128

PECOS Enrollment IDI20040824000795, I20241017002886

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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

139 services77 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

110 services44 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

60 services43 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

57 services57 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

38 services38 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

35 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220074

Location363 Highland AvenueFall River, MA 02720 · Bristol County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers20 claims20 services$34.47 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers13 claims78 services$16.26 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers18 claims18 services$48.52 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers15 claims15 services$17.24 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers25 claims144 services$1.86 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

5 suppliers12 claims12 services$11.89 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers20 claims20 services$14.58 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.81 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier19 claims19 services$10.70 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers17 claims17 services$2.60 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers25 claims25 services$24.72 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers41 claims41 services$65.39 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

5 suppliers23 claims5,309 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

7 suppliers26 claims3,250 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

6 suppliers18 claims1,350 services$0.75 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

10 suppliers54 claims54 services$23.70 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. LESLIE E STERN M.D.

Neurological Surgery

1030 PRESIDENT AVE, SUITE 306
FALL RIVER, MA 02720

Bristol County (508) 235-6395

KELBY MAHER D.O.

Pediatrics

1030 PRESIDENT AVE
FALL RIVER, MA 02720

Bristol County (508) 679-6833

REGINA SINGLETON N.P.

Nurse Practitioner (Adult Health)

1030 PRESIDENT AVE, SUITE 304
FALL RIVER, MA 02720

Bristol County (508) 235-6222

MARGARET TANG LEE MD

Obstetrics & Gynecology

1030 PRESIDENT AVE
FALL RIVER, MA 02720

Bristol County (508) 676-3411

LAUREL A GAY P.A.

Physician Assistant

1030 PRESIDENT AVE, SUITE 3001
FALL RIVER, MA 02720

Bristol County (508) 676-3411

DR. NICK MUCCIARDI MD

Internal Medicine (Pulmonary Disease)

1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720

Bristol County (508) 973-1780

DR. HENRY R VAILLANCOURT MD

Family Medicine

1030 PRESIDENT AVE, SUITE 104 SOUTHCOAST PHYSICIAN SERVICES INC
FALL RIVER, MA 02720

Bristol County (508) 676-3411

HECTOR E MATEO MD

Internal Medicine (Pulmonary Disease)

1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720

Bristol County (508) 973-1780

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 Terence Mcgovern's NPI number?

The NPI number for Terence Mcgovern is 1033158035. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Terence Mcgovern located?

Terence Mcgovern practices at 1030 President Ave Suite 210, Fall River, MA 02720. The listed phone number is (508) 973-1780.

What is Terence Mcgovern's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Terence Mcgovern enrolled in Medicare?

Yes. Terence Mcgovern 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 Terence Mcgovern accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Terence Mcgovern 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 Terence Mcgovern affiliated with any hospitals?

According to CMS data, Terence Mcgovern is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Terence Mcgovern was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.