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RAYMOND MICHAEL DUNN M.D.
NPI 1225012347
Surgery - Plastic and Reconstructive Surgery in Worcester, MA

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
55 LAKE AVE N, DEPARTMENT OF PLASTIC & RECONSTRUCTIVE SURGERY, WORCESTER, MA 01655(508) 334-5958(508) 334-5152 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2020, Apr 21, 2020, Nov 9, 2017 and 1 more (4 updates tracked since 2017).

About Raymond Michael Dunn M.d. NPPES

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

RAYMOND MICHAEL DUNN M.D. (NPI 1225012347) is an individual plastic and reconstructive surgery provider in Worcester, Massachusetts, licensed in Massachusetts (55227) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Albany Medical College Of Union University (1982).

NPPES Registry Identity

NPI1225012347
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameRAYMOND MICHAEL DUNNCredential: M.D.
Location Address55 LAKE AVE N, DEPARTMENT OF PLASTIC & RECONSTRUCTIVE SURGERYWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-0001 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 334-5958
Fax(508) 334-5152
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1982
Enumeration DateDecember 1, 2005
Last NPPES UpdateNovember 29, 20234 updates tracked since enumeration
NPPES CertifiedNovember 29, 2023
✔ NPI 1225012347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MA · 55227
Definition
A surgeon who specializes in plastic and reconstructive surgery.
55 LAKE AVE N, Worcester, MA 01655
Open in Google Maps ↗

Other Identifiers 2

Medicaid110048132AMA
Medicaid3059961MA

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raymond Michael Dunn 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 ID1456317791
PECOS Enrollment IDI20041208000243
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 Raymond Dunn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Umass Memorial Medical Group Inc
Same address
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1760445373 (508) 334-1000

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 3

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.
31 services24 patients
Creation of muscle graft to trunk 15734
The creation of a muscle graft to the trunk is a surgical procedure where healthy muscle tissue is moved from one part of the body to another. This helps to repair damaged areas, improve function, and enhance appearance. It's a common procedure in reconstructive surgery.
21 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

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, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

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
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

Powered pressure-reducing air mattress E0277
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$146.47 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.

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
YOONYIE CHO M.D.
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-1000

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 Raymond Dunn's NPI number?

The NPI number for Raymond Dunn is 1225012347. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Raymond Dunn located?

Raymond Dunn practices at 55 Lake Ave N Department Of Plastic & Reconstructive Surgery, Worcester, MA 01655. The listed phone number is (508) 334-5958.

What is Raymond Dunn's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Raymond Dunn enrolled in Medicare?

Yes. Raymond Dunn 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 organization bills Medicare for Raymond Dunn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Dunn reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). The 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 Raymond Dunn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raymond Dunn accept?

Health plans from Anthem Blue Cross and Blue Shield list Raymond Dunn 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 Raymond Dunn affiliated with any hospitals?

According to CMS data, Raymond Dunn is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Raymond Dunn was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.