KONSTANTINO A AVRADOPOULOS MD
NPI 1154390995
Surgery in Southbridge, MA

Q: What is Konstantino Avradopoulos's NPI number?

The NPI number for Konstantino Avradopoulos is 1154390995. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Q: What is Konstantino Avradopoulos's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment

97.02/100

CMS Quality Rating

94 SOUTH ST, SOUTHBRIDGE, MA 01550(508) 764-6966(508) 764-2457 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Konstantino A Avradopoulos Md NPPES

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

KONSTANTINO A AVRADOPOULOS MD (NPI 1154390995) is an individual surgery provider in Southbridge, Massachusetts, licensed in Massachusetts (204941) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Northeastern Ohio University College Of Medicine (1988).

NPPES Registry Identity

NPI1154390995

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameKONSTANTINO A AVRADOPOULOSCredential: MD

Location Address94 SOUTH STSouthbridge, MA 01550-4000

Mailing Address94 South StSouthbridge, MA 01550-4000 · (508) 764-6966 · Fax (508) 764-2457

Phone(508) 764-6966

Fax(508) 764-2457

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1988

Enumeration DateMarch 15, 2006

Last NPPES UpdateApril 11, 2012

✔ NPI 1154390995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MA · 204941

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

94 SOUTH ST, Southbridge, MA 01550

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Other Identifiers 20

Medicare ID-Type UnspecifiedA30735MA

Medicaid3207048MA

Other042472266Private Healthcare System

OtherJ22103Blue Shield Hmo Blue

OtherJ22103Blue Care Elect

Other45955Childrens Medical Securit

OtherA30735Medicare B

Medicare UPING31909

Other3207048Medicaid Welfare

Other783988Mvp Health Care

OtherAA8132Harvard Pilgrim Healthcar

Other042472266One Health Plan

Other5605292Aetna Us Healthcare

OtherJ22103Blue Shield Indemnity

Other3207048Healthy Start

Other3700043Evercare

Other8052669Cigna Health Plan

Other935195First Health

Other042472266Healthcare Value Managmen

Other45865Fallon Community Health P

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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

Konstantino A Avradopoulos 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 ID5294864476

PECOS Enrollment IDI20100526000618

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

Medicare enrollment records show Konstantino Avradopoulos reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heywood Affiliated Medical Group Inc.

34 mi

Urgent Care

266 MAIN ST
Gardner, MA 01440

Reassigned Medicare billing, Massachusetts enrollment
Medicare enrollment name: Heywood Medical Group Inc.
218 clinicians in this Medicare group

NPI 1215304589 (978) 630-5030

Henry Heywood Memorial Hospital

35 mi

Hospitalist

242 GREEN ST
Gardner, MA 01440

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

NPI 1205448701 (978) 630-6944

Athol Memorial Hospital Incorporated

36 mi

Critical Access

2033 MAIN STREET
Athol, MA 01331

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

NPI 1336120047 (978) 249-3511

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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

444 services109 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

350 services88 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

91 services47 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.

74 services74 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

72 services11 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

58 services21 patients

Hospital Affiliations CMS Care Compare 4

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

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 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

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

Most-billed visit code 99213

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

Quality

78.09

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 12

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

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

3 suppliers56 claims1,300 services$0.10 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

3 suppliers19 claims572 services$0.37 avg. paid by Medicare

Collagen dressing, sterile, size 16 sq. in. or less, each A6021

DME-Medical/Surgical Supplies · category DA023N

4 suppliers24 claims238 services$19.56 avg. paid by Medicare

Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216

DME-Medical/Surgical Supplies · category DA023N

3 suppliers28 claims1,880 services$0.04 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

2 suppliers27 claims381 services$0.87 avg. paid by Medicare

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing A6223

DME-Medical/Surgical Supplies · category DA023N

3 suppliers11 claims336 services$2.23 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 14

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

STEPHEN T HILBORN MD

Surgery

94 SOUTH ST, HARRINGTON PHYSICIAN SERVICES
SOUTHBRIDGE, MA 01550

Worcester County (508) 764-2772

LISA GAY SCHNARE C.S.F.A.

Specialist/Technologist, Other (Surgical Assistant)