RUSSELL LONGENDORFER PA-C
NPI 1194249136
Physician Assistant in Worcester, MA
About Russell Longendorfer Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUSSELL LONGENDORFER PA-C (NPI 1194249136) is an individual physician assistant in Worcester, Massachusetts, licensed in Massachusetts (PA8684) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
Russell Longendorfer Pa-c 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.
Hospital Affiliations CMS Care Compare
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, 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.
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.
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 Russell Longendorfer's NPI number?
The NPI number for Russell Longendorfer is 1194249136. It was assigned to this individual provider in the NPPES registry on August 1, 2017.
Where is Russell Longendorfer located?
Russell Longendorfer practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 443-7552.
What is Russell Longendorfer's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Russell Longendorfer enrolled in Medicare?
Yes. Russell Longendorfer 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 Russell Longendorfer accept?
Health plans from Anthem Blue Cross and Blue Shield list Russell Longendorfer 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 Russell Longendorfer affiliated with any hospitals?
According to CMS data, Russell Longendorfer is affiliated with Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Russell Longendorfer was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Russell Longendorfer, PA-C · NPI 1194249136
Physician Assistant physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since August 1, 2017.
## Identity
- **NPI:** 1194249136 (Entity type: Individual)
- **Enumerated:** August 1, 2017
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA8684 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (774) 443-7552 · **Fax:** (774) 441-6086
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194249136) · Data from the CMS NPPES public registry.