1. Home
  2. Directory
  3. Massachusetts
  4. Worcester
  5. Urology
  6. NPI Profile

JENNIFER FANTASIA M.D.
NPI 1053799726
Urology in Worcester, MA

Active since May 13, 2015PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
33 KENDALL ST, WORCESTER, MA 01605(083) 348-7655(508) 334-9477 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 27, 2020, Aug 20, 2020 (2 updates tracked since 2020).

About Jennifer Fantasia M.d. NPPES

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

JENNIFER FANTASIA M.D. (NPI 1053799726) is an individual urology provider in Worcester, Massachusetts, licensed in Massachusetts (283649) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of University Of Massachusetts Medical School (2015).

NPPES Registry Identity

NPI1053799726
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameJENNIFER FANTASIACredential: M.D.
Location Address33 KENDALL STWorcester, MA 01605-2726
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(083) 348-7655
Fax(508) 334-9477
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2015
Enumeration DateMay 13, 2015
Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1053799726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MA · 283649
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedSurgeryTaxonomy 208600000X · License LP03299 (RI)
33 KENDALL ST, Worcester, MA 01605
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Jennifer Fantasia 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.

PECOS PAC ID7810316056
PECOS Enrollment IDI20201007001931
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 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
64 services56 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
49 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services39 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
39 services39 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
35 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220049
Location157 Union StreetMarlborough, MA 01752 · Middlesex County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers18 claims2,040 services$1.57 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers13 claims1,530 services$6.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ERIN MARIE BEDNAREK N.P.
Nurse Practitioner (Women's Health)
33 KENDALL ST
WORCESTER, MA 01605
Worcester County (508) 334-6255
JOSHUA HENRY ALTSCHULER MD
Urology
33 KENDALL ST
WORCESTER, MA 01605
Worcester County (508) 334-8765
MRS. DANIELLE KATHLEEN WRIGHT CNP
Nurse Practitioner (Women's Health)
33 KENDALL ST
WORCESTER, MA 01605
Worcester County (508) 334-6255
SEANNA LONGACRE
Nurse Practitioner (Acute Care)
33 KENDALL ST
WORCESTER, MA 01605
Worcester County (508) 334-8765
DEBRA M PAPA M.D.
Obstetrics & Gynecology (Obstetrics)
33 KENDALL ST, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
WORCESTER, MA 01605
Worcester County (508) 334-6255
KATE LOBISSER PA-C
Physician Assistant
33 KENDALL ST
WORCESTER, MA 01605
Worcester County (508) 334-8765
ELIZABETH R. ALLOCCO M.D.
Obstetrics & Gynecology
33 KENDALL ST
WORCESTER, MA 01605
Worcester County (508) 334-6255
KRISTEN A MATTESON MD
Obstetrics & Gynecology
33 KENDALL ST
WORCESTER, MA 01605
Worcester County (508) 334-6255

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 Jennifer Fantasia's NPI number?

The NPI number for Jennifer Fantasia is 1053799726. It was assigned to this individual provider in the NPPES registry on May 13, 2015.

Where is Jennifer Fantasia located?

Jennifer Fantasia practices at 33 Kendall St, Worcester, MA 01605. The listed phone number is (083) 348-7655.

What is Jennifer Fantasia's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jennifer Fantasia enrolled in Medicare?

Yes. Jennifer Fantasia 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 Jennifer Fantasia accept?

Health plans from Anthem Blue Cross and Blue Shield list Jennifer Fantasia 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 Jennifer Fantasia affiliated with any hospitals?

According to CMS data, Jennifer Fantasia is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Umass Memorial Healthcare-Marlborough Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Jennifer Fantasia was last updated on October 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.