GEORGE M GACHUMA NP
NPI 1114425832
Nurse Practitioner - Psychiatric/Mental Health in Southbridge, MA

Active since January 28, 2018PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
29 PINE ST, SOUTHBRIDGE, MA 01550(508) 765-9167 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About George M Gachuma Np NPPES

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

GEORGE M GACHUMA NP (NPI 1114425832) is an individual psychiatric/mental health provider in Southbridge, Massachusetts, licensed in Massachusetts (RN2273574) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114425832
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameGEORGE M GACHUMACredential: NP
Location Address29 PINE STSouthbridge, MA 01550-1823
Mailing Address38 Sunny Hill DrWorcester, MA 01602-2256
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 28, 2018
Last NPPES UpdateNovember 8, 2018
NPI 1114425832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MA · RN2273574
29 PINE ST, Southbridge, MA 01550

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

George M Gachuma Np 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 ID4587916739
PECOS Enrollment IDI20181016003151
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

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
45 services21 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01550 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
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

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.

Nurse Practitioner (Psychiatric/Mental Health)
29 PINE ST
SOUTHBRIDGE, MA 01550
Psychiatry & Neurology (Psychiatry)
29 PINE ST, G.B. WELLS HUMAN SERVICES CENTER
SOUTHBRIDGE, MA 01550
Social Worker
29 PINE ST
SOUTHBRIDGE, MA 01550
Counselor
29 PINE ST, GB WELLS CENTER
SOUTHBRIDGE, MA 01550
Counselor (Addiction (Substance Use Disorder))
29 PINE ST
SOUTHBRIDGE, MA 01550
Nurse Practitioner (Psychiatric/Mental Health)
29 PINE ST
SOUTHBRIDGE, MA 01550
Social Worker
29 PINE ST
SOUTHBRIDGE, MA 01550
Counselor (Mental Health)
29 PINE ST
SOUTHBRIDGE, MA 01550

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 George Gachuma's NPI number?

The NPI number for George Gachuma is 1114425832. It was assigned to this individual provider in the NPPES registry on January 28, 2018.

Where is George Gachuma located?

George Gachuma practices at 29 Pine St, Southbridge, MA 01550. The listed phone number is (508) 765-9167.

What is George Gachuma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is George Gachuma enrolled in Medicare?

Yes. George Gachuma 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 George Gachuma accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list George Gachuma 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 George Gachuma affiliated with any hospitals?

According to CMS data, George Gachuma is affiliated with Umass Memorial Health - Harrington Hospital.

When was this NPI record last updated?

The NPPES record for George Gachuma was last updated on November 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.