PAULA M GARDINER MD
NPI 1114964731
Family Medicine in Worcester, MA
About Paula M Gardiner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAULA M GARDINER MD (NPI 1114964731) is an individual family medicine provider in Worcester, Massachusetts, licensed in Massachusetts (216578) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Tufts University School Of Medicine (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Paula M Gardiner 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.
Medicare Billing Reassignments
2Medicare enrollment records show Paula Gardiner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Cambridge, MA 02139
- Reassigned Medicare billing, Massachusetts enrollment
- 719 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cambridge Health Alliance
Acute Care Hospitals · Cambridge, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Paula Gardiner's NPI number?
The NPI number for Paula Gardiner is 1114964731. It was assigned to this individual provider in the NPPES registry on June 1, 2006.
Where is Paula Gardiner located?
Paula Gardiner practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-2818.
What is Paula Gardiner's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Paula Gardiner enrolled in Medicare?
Yes. Paula Gardiner 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 Paula Gardiner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paula Gardiner reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Group Inc (Worcester, MA) and Cambridge Public Health Commission (Cambridge, MA). 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 Paula Gardiner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paula Gardiner accept?
Health plans from Taro Health list Paula Gardiner 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 Paula Gardiner affiliated with any hospitals?
According to CMS data, Paula Gardiner is affiliated with Cambridge Health Alliance.
When was this NPI record last updated?
The NPPES record for Paula Gardiner was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Paula M Gardiner, MD · NPI 1114964731
Family Medicine physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since June 1, 2006.
## Identity
- **NPI:** 1114964731 (Entity type: Individual)
- **Enumerated:** June 1, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 216578 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 334-2818 · **Fax:** (774) 441-7799
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA); Cambridge Public Health Commission (NPI 1487603585, Cambridge, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 2000
## Record status
- **NPPES last updated:** October 30, 2020
- **Other identifiers:** Medicaid 110036702A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114964731) · Data from the CMS NPPES public registry.