KEVIN W. O'DAY M.D.
NPI 1255793220
Internal Medicine - Cardiovascular Disease in Worcester, MA

Q: What is Kevin O'day's NPI number?

The NPI number for Kevin O'day is 1255793220. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Q: What is Kevin O'day's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin O'day was last updated on July 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment

97.02/100

CMS Quality Rating

55 LAKE AVE N, WORCESTER, MA 01655(508) 334-3452 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 5, 2022, Mar 26, 2021, Feb 10, 2021 and 1 more (4 updates tracked since 2016).

On this page

About Kevin W. O'day M.d. NPPES

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

KEVIN W. O'DAY M.D. (NPI 1255793220) is an individual cardiovascular disease provider in Worcester, Massachusetts, licensed in Massachusetts (277626) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of University Of Massachusetts Medical School (2016).

NPPES Registry Identity

NPI1255793220

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameKEVIN W. O'DAYCredential: M.D.

Location Address55 LAKE AVE NWorcester, MA 01655-0002

Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977

Phone(508) 334-3452

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2016

Enumeration DateMarch 28, 2016

Last NPPES UpdateJuly 5, 20224 updates tracked since enumeration

NPPES CertifiedJuly 5, 2022

✔ NPI 1255793220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MA · 277626

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 277626 (MA)

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 277626 (MA)

55 LAKE AVE N, Worcester, MA 01655

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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

Kevin W. O'day 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 ID6507151495

PECOS Enrollment IDI20210215001608

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 22

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

2,831 services2,211 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

384 services381 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.

215 services203 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

159 services156 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

112 services48 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

94 services93 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

79 services78 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

60 services60 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

59 services59 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

58 services58 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

56 services56 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

56 services55 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

50 services50 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

47 services47 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

41 services40 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

28 services27 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

27 services27 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

26 services26 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

23 services23 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

20 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services17 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220019

Location100 South StreetSouthbridge, MA 01550 · Worcester County

Emergency services

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220049

Location157 Union StreetMarlborough, MA 01752 · Middlesex County

Emergency services

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 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.

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.

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

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.

MARTHA LAROSE SAMPSON CRNA

Nurse Anesthetist, Certified Registered

55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

LINDA A PAPE M.D.

Internal Medicine (Cardiovascular Disease)

55 LAKE AVE N, CARDIOLOGY
WORCESTER, MA 01655

Worcester County (508) 856-3050

DR. DALE E RAUCH M.D.

Psychiatry & Neurology (Psychiatry)

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 856-6580

JESSICA L DOUGLAS MS

Genetic Counselor, MS

55 LAKE AVE N, S1-710
WORCESTER, MA 01655

Worcester County (508) 334-3517

DR. JULIANNE PATRICIA HUBER MD

Emergency Medicine

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 421-1400

ELLEN M GRAVALLESE M.D.

Internal Medicine (Rheumatology)

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-5224

DR. ABIGAIL ADAMS M.D.

Internal Medicine

55 LAKE AVE N, DEPARTMENT OF GENERAL MEDICINE
WORCESTER, MA 01655

Worcester County (508) 856-2731

GAMZE AYATA MD

Pathology (Anatomic Pathology)

55 LAKE AVE N, DEPARTMENT OF PATHOLOGY
WORCESTER, MA 01655

Worcester County (508) 793-6100

DR. MARIANNE E FELICE M.D.

Pediatrics (Adolescent Medicine)

55 LAKE AVE N, DEPARTMENT OF PEDIATRIC ADOLESCENT MEDICINE
WORCESTER, MA 01655

Worcester County (508) 856-3199

JOHN PULLERITS M.D.

Anesthesiology

55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

DIANA I. KOUZNETSOV MD

Anesthesiology

55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

DR. STANLEY K TAM MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

55 LAKE AVE N, DEPARTMENT OF SURGERY
WORCESTER, MA 01655

Worcester County (508) 334-3962

MICHAEL C. BUTLER MD

Emergency Medicine

55 LAKE AVE N, DEPARTMENT OF EMERGENCY MEDICINE
WORCESTER, MA 01655

Worcester County (508) 421-1400

ROBERT B ZURIER M.D.

Internal Medicine (Rheumatology)

55 LAKE AVE N, DEPARTMENT OF RHEUMATOLOGY
WORCESTER, MA 01655

Worcester County (508) 856-6246

JUDITH A STEBULIS M.D.

Internal Medicine (Rheumatology)

55 LAKE AVE N, DEPARTMENT OF RHEUMATOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-5224

DR. SHAN LU M.D.

Internal Medicine

55 LAKE AVE N, DEPARTMENT OF INTERNAL MEDICINE
WORCESTER, MA 01655

Worcester County (508) 856-6791

DR. MITCHELL CAHAN M.D.

Surgery

55 LAKE AVE N, DEPARTMENT OF GENERAL SURGERY
WORCESTER, MA 01655

Worcester County (508) 334-7656

JOHN A PARASKOS M.D.

Internal Medicine (Cardiovascular Disease)

55 LAKE AVE N, DEPARTMENT OF CARDIOVASCULAR MEDICINE
WORCESTER, MA 01655

Worcester County (508) 856-3905

DR. ANDREW J SUSSMAN M.D.

Internal Medicine

55 LAKE AVE N, DEPARTMENT OF INTERNAL MEDICINE
WORCESTER, MA 01655

Worcester County (508) 856-3063

ATHANASIUS A ANAGNOSTOU M.D.

Internal Medicine (Hematology & Oncology)

55 LAKE AVE N, DEPARTMENT OF HEMATOLOGY/ONCOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-5141

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 Kevin O'day's NPI number?

The NPI number for Kevin O'day is 1255793220. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Kevin O'day located?

Kevin O'day practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-3452.

What is Kevin O'day's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kevin O'day enrolled in Medicare?

Yes. Kevin O'day 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 Kevin O'day accept?

Health plans from Anthem Blue Cross and Blue Shield list Kevin O'day 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 Kevin O'day affiliated with any hospitals?

According to CMS data, Kevin O'day is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Umass Memorial Healthcare-Marlborough Hospital, Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Kevin O'day was last updated on July 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.