GINA E. D'OTTAVIO M.D.
NPI 1114902038
Family Medicine in Worcester, MA

Q: What is Gina D'ottavio's NPI number?

The NPI number for Gina D'ottavio is 1114902038. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Q: What is Gina D'ottavio's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gina D'ottavio was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment

19 TACOMA ST, WORCESTER, MA 01605(508) 852-1805(508) 853-8593 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Gina E. D'ottavio M.d. NPPES

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

GINA E. D'OTTAVIO M.D. (NPI 1114902038) is an individual family medicine provider in Worcester, Massachusetts, licensed in Massachusetts (151056) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Milford Regional Medical Center, and is a graduate of University Of Massachusetts Medical School (1992).

NPPES Registry Identity

NPI1114902038

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameGINA E. D'OTTAVIOCredential: M.D.

Location Address19 TACOMA STWorcester, MA 01605-3516

Mailing Address19 Tacoma StWorcester, MA 01605-3516 · (508) 852-1805 · Fax (508) 853-8593

Phone(508) 852-1805

Fax(508) 853-8593

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1992

Enumeration DateDecember 14, 2005

Last NPPES UpdateNovember 2, 2016

✔ NPI 1114902038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MA · 151056

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

19 TACOMA ST, Worcester, MA 01605

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Other Identifiers 2

Medicare UPING66316MA

Medicare ID-Type UnspecifiedA23453MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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

Gina E. D'ottavio 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 ID4587823026

PECOS Enrollment IDI20120302000085

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 Reassignment

Medicare enrollment records show Gina D'ottavio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edward M. Kennedy Community Health Center, Inc

Same address

Federally Qualified Health Center (FQHC)

19 TACOMA ST
Worcester, MA 01605

Reassigned Medicare billing, Massachusetts enrollment
147 clinicians in this Medicare group

NPI 1609842152 (508) 852-1805

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220090

Location14 Prospect StreetMilford, MA 01757 · 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

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

$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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers16 claims35 services$5.66 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.

ANNE WALTON

Registered Nurse