STACI GAGNE M.D.
NPI 1255694683
Radiology - Diagnostic Radiology in Boston, MA
About Staci Gagne M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACI GAGNE M.D. (NPI 1255694683) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (270466) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of University Of Massachusetts Medical School (2012).
NPPES Registry Identity
Specialties & Licenses 2
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
Staci Gagne 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.
Medicare Billing Reassignments
3Medicare enrollment records show Staci Gagne reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 4,574 clinicians in this Medicare group
Medford, MA 02155
- Reassigned Medicare billing, Massachusetts and New Hampshire enrollments
- 258 clinicians in this Medicare group
South Weymouth, MA 02190
- Reassigned Medicare billing, Massachusetts enrollment
- 419 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.
Areas of Expertise CMS Part B claims 15
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cooley Dickinson Hospital Inc,the
Acute Care Hospitals · Northampton, MANorth Shore Medical Center -
Acute Care Hospitals · Salem, MAMassachusetts General Hospital
Acute Care Hospitals · Boston, MABrigham And Women's Hospital
Acute Care Hospitals · Boston, MAWentworth-Douglass Hospital
Acute Care Hospitals · Dover, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02114 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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 Staci Gagne's NPI number?
The NPI number for Staci Gagne is 1255694683. It was assigned to this individual provider in the NPPES registry on June 20, 2012.
Where is Staci Gagne located?
Staci Gagne practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 643-3726.
What is Staci Gagne's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Staci Gagne enrolled in Medicare?
Yes. Staci Gagne 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 Staci Gagne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Staci Gagne reassigns Medicare benefits to 3 organizations: Brigham & Womens Physicians Organization Inc (Boston, MA), Mass General Brigham Community Physicians Inc (Medford, MA) and Harbor Medical Associates, Inc. (South Weymouth, 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 Staci Gagne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Staci Gagne accept?
Health plans from Ambetter from NH Healthy Families and WellSense Health Plan list Staci Gagne 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 Staci Gagne affiliated with any hospitals?
According to CMS data, Staci Gagne is affiliated with Cooley Dickinson Hospital Inc,the, North Shore Medical Center -, Massachusetts General Hospital, Brigham And Women's Hospital and Wentworth-Douglass Hospital.
When was this NPI record last updated?
The NPPES record for Staci Gagne was last updated on February 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Staci Gagne, M.D. · NPI 1255694683
Diagnostic Radiology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 20, 2012.
## Identity
- **NPI:** 1255694683 (Entity type: Individual)
- **Enumerated:** June 20, 2012
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 270466 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2621
- **Phone:** (617) 643-3726
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Brigham & Womens Physicians Organization Inc (NPI 1033535497, Boston, MA); Mass General Brigham Community Physicians Inc (NPI 1548638265, Medford, MA); Harbor Medical Associates, Inc. (NPI 1124079561, South Weymouth, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Massachusetts Medical School, class of 2012
## Record status
- **NPPES last updated:** February 20, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1255694683) · Data from the CMS NPPES public registry.