DESTINY PEGRAM
NPI 1033641808
Psychiatry & Neurology - Psychiatry in Worcester, MA
NPI Status: Active since March 31, 2017
Contact Information
55 LAKE AVE N
WORCESTER, MA
ZIP 01655
Phone: (508) 334-1000
- Individual
- Female
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
- PECOS Enrolled
About DESTINY PEGRAM
This page provides the complete NPI Profile along with additional information for Destiny Pegram, a provider established in Worcester, Massachusetts with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1033641808 assigned on March 2017. The practitioner's primary taxonomy code is 2084P0800X with license number 281537 (MA). The provider is registered as an individual and her NPI record was last updated April 2025.
- NPI
- 1033641808
- Provider Name
- DESTINY PEGRAM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 55 LAKE AVE N WORCESTER, MA 01655
- Location Phone
- (508) 334-1000
- Mailing Address
- 55 LAKE AVE N WORCESTER, MA 01655
- Mailing Phone
- (508) 334-1000
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-31-2017
- Last Update Date
- 04-29-2025
- Code Navigator
A psychiatrist like Destiny Pegram are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
Location Map
Secondary Locations
- 67 Union St
Natick, MA 01760
(508) 650-7031 - 115 Lincoln St
Framingham, MA 01702
(508) 383-1000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 281537
- License State
- MA
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Destiny Pegram is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01655 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $177.36
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $44.34
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73.22
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $18.3
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DESTINY PEGRAM
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 6 | 4 | 1 | 8 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 12 | 4 | 2 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 2 + 4 + 2 + 8 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1033641808 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. SARAH BETH SAXER PHARMD
Pharmacist
(Pharmacotherapy)
55 LAKE AVE N
UMASS MED CENTER DEPT OF PHARMACY
WORCESTER, MA
ZIP 01655
MARTHA LAROSE SAMPSON CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N
DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA
ZIP 01655
LINDA A PAPE M.D.
Internal Medicine
(Cardiovascular Disease)
55 LAKE AVE N
CARDIOLOGY
WORCESTER, MA
ZIP 01655
DR. DALE E RAUCH M.D.
Psychiatry & Neurology
(Psychiatry)
55 LAKE AVE N
WORCESTER, MA
ZIP 01655
DR. MAICHI T TRAN PHARM.D.
Pharmacist
(Pharmacotherapy)
55 LAKE AVE N
WORCESTER, MA
ZIP 01655
DR. JENNIFER L DONOVAN PHARM.D.
Pharmacist
55 LAKE AVE N
WORCESTER, MA
ZIP 01655
JESSICA L DOUGLAS MS
Genetic Counselor, MS
55 LAKE AVE N
S1-710
WORCESTER, MA
ZIP 01655
DR. JULIANNE PATRICIA HUBER MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA
ZIP 01655
DR. CHRISTIAN HARTMAN PHARMD
55 LAKE AVE N
PHARMACY DEPARTMENT
WORCESTER, MA
ZIP 01655
ELLEN M GRAVALLESE M.D.
Internal Medicine
(Rheumatology)
55 LAKE AVE N
WORCESTER, MA
ZIP 01655
DR. ABIGAIL ADAMS M.D.
Internal Medicine
55 LAKE AVE N
DEPARTMENT OF GENERAL MEDICINE
WORCESTER, MA
ZIP 01655
GAMZE AYATA MD
Pathology
(Anatomic Pathology)
55 LAKE AVE N
DEPARTMENT OF PATHOLOGY
WORCESTER, MA
ZIP 01655
DR. MARIANNE E FELICE M.D.
Pediatrics
(Adolescent Medicine)
55 LAKE AVE N
DEPARTMENT OF PEDIATRIC ADOLESCENT MEDICINE
WORCESTER, MA
ZIP 01655
JOHN PULLERITS M.D.
Anesthesiology
55 LAKE AVE N
DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA
ZIP 01655
DIANA I. KOUZNETSOV MD
Anesthesiology
55 LAKE AVE N
DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA
ZIP 01655
OSCAR EPHRAM STAROBIN MD
Internal Medicine
(Cardiovascular Disease)
55 LAKE AVE N
WORCESTER, MA
ZIP 01655
DR. STANLEY K TAM MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 LAKE AVE N
DEPARTMENT OF SURGERY
WORCESTER, MA
ZIP 01655
MICHAEL C. BUTLER MD
Emergency Medicine
55 LAKE AVE N
DEPARTMENT OF EMERGENCY MEDICINE
WORCESTER, MA
ZIP 01655
DR. RUBEN PERALTA M.D.
Surgery
(Surgical Critical Care)
55 LAKE AVE N
DEPARTMENT OF SURGICAL CRITICAL CARE
WORCESTER, MA
ZIP 01655
ROBERT B ZURIER M.D.
Internal Medicine
(Rheumatology)
55 LAKE AVE N
DEPARTMENT OF RHEUMATOLOGY
WORCESTER, MA
ZIP 01655
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033641808, enumerated as an "individual" on March 31, 2017.
The provider is located at 55 LAKE AVE N WORCESTER, MA 01655 and the phone number is (508) 334-1000.
Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to verify.
