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: October 18, 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 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show George Gachuma reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
100 SOUTH STREET
Southbridge, MA 01550
  • Reassigned Medicare billing, Massachusetts enrollment
  • 68 clinicians in this Medicare group
Urgent Care
78 SUTTON AVE
Oxford, MA 01540
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
Adult Mental Health
121 LINCOLN ST
Worcester, MA 01605
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4 clinicians in this Medicare group
Community/Behavioral Health
2920 S JONES BLVD STE 225
Las Vegas, NV 89146
  • Reassigned Medicare billing, Massachusetts enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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.

Which organizations bill Medicare for George Gachuma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), George Gachuma reassigns Medicare benefits to 4 organizations: Umass Memorial Health-Harrington Hospital Inc (Southbridge, MA), Umass Memorial Medical Group, Inc. (Oxford, MA), Elemental Wellness Center (Worcester, MA) and Multicultural Counseling Collaborative, Inc. (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for George Gachuma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does George Gachuma accept?

Health plans from Harvard Pilgrim Health Care and WellSense Health Plan 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.

When was this NPI record last updated?

The NPPES record for George Gachuma was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.