1. Home
  2. Directory
  3. Massachusetts
  4. Worcester
  5. Obstetrics Gynecology
  6. NPI Profile

KERRI E OSTERHAUS-HOULE MD
NPI 1174574008
Obstetrics & Gynecology in Worcester, MA

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
89.86/100
CMS Quality Rating
328 SHREWSBURY ST, STE 100, WORCESTER, MA 01604(508) 755-4861(508) 752-1392 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kerri E Osterhaus-houle Md NPPES

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

KERRI E OSTERHAUS-HOULE MD (NPI 1174574008) is an individual obstetrics & gynecology provider in Worcester, Massachusetts, licensed in Massachusetts (216676) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of University Of Massachusetts Medical School (1999).

NPPES Registry Identity

NPI1174574008
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKERRI E OSTERHAUS-HOULECredential: MD
Location Address328 SHREWSBURY ST, STE 100Worcester, MA 01604-4613
Mailing Address328 Shrewsbury St, Ste 100Worcester, MA 01604-4613 · (508) 755-4861 · Fax (508) 752-1392
Phone(508) 755-4861
Fax(508) 752-1392
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1999
Enumeration DateMay 15, 2006
Last NPPES UpdateNovember 30, 2016
✔ NPI 1174574008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 216676
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
328 SHREWSBURY ST, Worcester, MA 01604
Open in Google Maps ↗

Other Identifiers 9

Other0029540Neighborhood Health
OtherJ26197MA · Bcbs
OtherAA9354Harvard Pilgrim
Medicaid2009692MA
Medicare ID-Type UnspecifiedA35691MA
Medicare UPINH89066
Other97347502Network Health
Other467483Tufts
Other80347Fallon

Accepted Insurance

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

Kerri E Osterhaus-houle 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 ID2860665221
PECOS Enrollment IDI20111031000188
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 4

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.
69 services54 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
47 services47 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
14 services12 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

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

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01604 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
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.

89.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.17
Promoting Interoperability100
Improvement Activities40
Cost73.04

Reported Quality Measures

Breast Cancer Screening
92%296 patients4/55-star benchmark: 93%
Cervical Cancer Screening
98%841 patients5/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
26%61 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
81%1,426 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
95%891 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 25% · 884 patients
25%884 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ELANA L RUDAVSKY M.D.
Psychiatry & Neurology (Psychiatry)
328 SHREWSBURY ST, # 252
WORCESTER, MA 01604
Worcester County (508) 797-1767
LEAH WILSON M.D.
Obstetrics & Gynecology
328 SHREWSBURY ST, STE 100
WORCESTER, MA 01604
Worcester County (508) 755-4861
AMY PODOLSKI CHANG M.D.
Obstetrics & Gynecology
328 SHREWSBURY ST, SUITE 100
WORCESTER, MA 01604
Worcester County (508) 755-4861
TIFFANY M FORTI M.D., M.P.H.
Obstetrics & Gynecology
328 SHREWSBURY ST, STE 100
WORCESTER, MA 01604
Worcester County (508) 755-4861
MICHAEL GEORGE FRANGIEH MD
Obstetrics & Gynecology
328 SHREWSBURY ST
WORCESTER, MA 01604
Worcester County (508) 755-4861
DR. AUSTIN BASS DO
Family Medicine
328 SHREWSBURY ST
WORCESTER, MA 01604
Worcester County (508) 757-5520
PETER C DAVIDOW MD
Obstetrics & Gynecology
328 SHREWSBURY ST, SUITE 100
WORCESTER, MA 01604
Worcester County (508) 755-4861
DR. JUNE R O'CONNOR M.D.
Obstetrics & Gynecology
328 SHREWSBURY ST, STE 100
WORCESTER, MA 01604
Worcester County (508) 755-4861

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 Kerri Osterhaus-houle's NPI number?

The NPI number for Kerri Osterhaus-houle is 1174574008. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Kerri Osterhaus-houle located?

Kerri Osterhaus-houle practices at 328 Shrewsbury St Ste 100, Worcester, MA 01604. The listed phone number is (508) 755-4861.

What is Kerri Osterhaus-houle's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kerri Osterhaus-houle enrolled in Medicare?

Yes. Kerri Osterhaus-houle 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 Kerri Osterhaus-houle accept?

Health plans from Anthem Blue Cross and Blue Shield list Kerri Osterhaus-houle 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 Kerri Osterhaus-houle affiliated with any hospitals?

According to CMS data, Kerri Osterhaus-houle is affiliated with Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Kerri Osterhaus-houle was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.