PAYAM AGHASSI MD
NPI 1093704298
Internal Medicine - Pulmonary Disease in Leominster, MA

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
50 MEMORIAL DRIVE, SUITE 113, LEOMINSTER, MA 01453(978) 466-2692(978) 466-4754 Get Directions Write a Review

NPPES record last updated: April 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Payam Aghassi Md NPPES

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

PAYAM AGHASSI MD (NPI 1093704298) is an individual pulmonary disease provider in Leominster, Massachusetts, licensed in Massachusetts (216511) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1093704298
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NamePAYAM AGHASSICredential: MD
Location Address50 MEMORIAL DRIVE, SUITE 113Leominster, MA 01453-2238
Mailing AddressPo Box 726Leominster, MA 01453 · (978) 466-2692 · Fax (978) 466-4754
Fax(978) 466-4754
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 19, 2005
Last NPPES UpdateApril 17, 2012
NPI 1093704298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MA · 216511
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 216511 (MA)
Also ListedInternal Medicine · Allergy & ImmunologyTaxonomy 207RA0201X · License 216511 (MA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 216511 (MA)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License #216511 (MA)
50 MEMORIAL DRIVE, Leominster, MA 01453

Other Identifiers 8

OtherAA66577Harvard Pilgrim
OtherM20928Group Medicare
Medicare UPINI01847
OtherJ27245Blue Cross If Mass
Medicare PINOX1995MA
Other9771476Group Medicaid
Medicaid2121247MA
Other467556Tufts

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

Payam Aghassi 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 ID5597751891
PECOS Enrollment IDI20040422000571
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 14

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 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.
837 services242 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
669 services482 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.
604 services543 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.
330 services129 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
214 services211 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.
167 services152 patients

Hospital Affiliations CMS Care Compare 5

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

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

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

Athol Memorial Hospital

Critical Access Hospitals · Athol, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221303
Location2033 Main StreetAthol, MA 01331 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01453 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.

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 31

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
5 suppliers221 claims221 services$33.27 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
2 suppliers11 claims42 services$2.21 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
2 suppliers11 claims12 services$2.26 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers47 claims92 services$1.22 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
2 suppliers21 claims21 services$7.26 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers125 claims125 services$75.52 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 16

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

Internal Medicine (Gastroenterology)
50 MEMORIAL DRIVE, SUITE # 114
LEOMINSTER, MA 01453
Psychiatry & Neurology (Neurology)
50 MEMORIAL DRIVE, SUITE 211
LEOMINSTER, MA 01453
Internal Medicine
50 MEMORIAL DRIVE, SUITE 214
LEOMINSTER, MA 01453
Internal Medicine
50 MEMORIAL DRIVE, SUITE 108
LEOMINSTER, MA 01453
Internal Medicine
50 MEMORIAL DRIVE, SUITE 205
LEOMINSTER, MA 01453
Nurse Practitioner (Family)
50 MEMORIAL DRIVE, SUITE 205
LEOMINSTER, MA 01453
Internal Medicine
50 MEMORIAL DRIVE, SUITE 205
LEOMINSTER, MA 01453
Nurse Practitioner
50 MEMORIAL DRIVE, SUITE 214
LEOMINSTER, MA 01453

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 Payam Aghassi's NPI number?

The NPI number for Payam Aghassi is 1093704298. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Payam Aghassi located?

Payam Aghassi practices at 50 Memorial Drive Suite 113, Leominster, MA 01453. The listed phone number is (978) 466-2692.

What is Payam Aghassi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Payam Aghassi enrolled in Medicare?

Yes. Payam Aghassi 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 Payam Aghassi accept?

Health plans from Anthem Blue Cross and Blue Shield list Payam Aghassi 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 Payam Aghassi affiliated with any hospitals?

According to CMS data, Payam Aghassi is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Heywood Hospital, Umass Memorial Medical Center/University Campus and Athol Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Payam Aghassi was last updated on April 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.