MICHAEL D WERTHEIMER M.D.
NPI 1265540975
Surgery - Surgical Oncology in Worcester, MA

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
UMASS MEMORIAL HEALTH CARE, 119 BELMONT STREET, WORCESTER, MA 01605(508) 334-5132 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael D Wertheimer M.d. NPPES

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

MICHAEL D WERTHEIMER M.D. (NPI 1265540975) is an individual surgical oncology provider in Worcester, Massachusetts, licensed in Massachusetts (34387) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1971).

NPPES Registry Identity

NPI1265540975
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameMICHAEL D WERTHEIMERCredential: M.D.
Location AddressUMASS MEMORIAL HEALTH CARE, 119 BELMONT STREETWorcester, MA 01605
Mailing Address400 Blue Hill Dr 2bWestwood, MA 02090-2161 · (617) 754-1057 · Fax (617) 754-1040
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1971
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 20, 2015
✔ NPI 1265540975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in MA · 34387
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
UMASS MEMORIAL HEALTH CARE, Worcester, MA 01605

Other Identifiers 1

Medicare PINHX4488MA

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

Michael D Wertheimer 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 ID3870559883
PECOS Enrollment IDI20041201000993
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 Reassignments

3

Medicare enrollment records show Michael Wertheimer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
330 BROOKLINE AVE, ST 207
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,477 clinicians in this Medicare group
Surgery
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 281 clinicians in this Medicare group
General Acute Care Hospital
1493 CAMBRIDGE ST
Cambridge, MA 02139
  • Reassigned Medicare billing, Massachusetts enrollment
  • 719 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.

Hospital Affiliations CMS Care Compare

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
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.

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 Michael Wertheimer's NPI number?

The NPI number for Michael Wertheimer is 1265540975. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Michael Wertheimer located?

Michael Wertheimer practices at Umass Memorial Health Care 119 Belmont Street, Worcester, MA 01605. The listed phone number is (508) 334-5132.

What is Michael Wertheimer's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Michael Wertheimer enrolled in Medicare?

Yes. Michael Wertheimer 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 Michael Wertheimer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Wertheimer reassigns Medicare benefits to 3 organizations: Beth Israel Deaconess Medical Center, Inc. (Boston, MA), Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA) and Cambridge Public Health Commission (Cambridge, 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 Michael Wertheimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Wertheimer affiliated with any hospitals?

According to CMS data, Michael Wertheimer is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Michael Wertheimer was last updated on July 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.