GINA T SULLIVAN MD
NPI 1265750228
Obstetrics & Gynecology in Worcester, MA

Active since May 13, 2010PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
33 KENDALL ST, WORCESTER, MA 01605(508) 334-6255(508) 334-6063 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2020, Apr 19, 2017, Sep 29, 2015 (3 updates tracked since 2015).

About Gina T Sullivan Md NPPES

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

GINA T SULLIVAN MD (NPI 1265750228) is an individual obstetrics & gynecology provider in Worcester, Massachusetts, licensed in Massachusetts (258579) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1265750228
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameGINA T SULLIVANCredential: MD
Location Address33 KENDALL STWorcester, MA 01605-2726
Mailing AddressPo Box 415348Boston, MA 02241-5348
Fax(508) 334-6063
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 13, 2010
Last NPPES UpdateNovember 10, 20203 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
NPI 1265750228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MA · 258579
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X · License 258579 (MA)
33 KENDALL ST, Worcester, MA 01605

Other Names 1

Former Name (1)Gina Marie Tassone Md

Other Identifiers 1

Medicaid110104869AMA

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

Gina T Sullivan Md 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 ID4082924626
PECOS Enrollment IDI20151110002122
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 2

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.
37 services27 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
14 services14 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

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
$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
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Women's Health)
33 KENDALL ST
WORCESTER, MA 01605
Urology
33 KENDALL ST
WORCESTER, MA 01605
Nurse Practitioner (Women's Health)
33 KENDALL ST
WORCESTER, MA 01605
Nurse Practitioner (Acute Care)
33 KENDALL ST
WORCESTER, MA 01605
Obstetrics & Gynecology (Obstetrics)
33 KENDALL ST, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
WORCESTER, MA 01605
Urology
33 KENDALL ST
WORCESTER, MA 01605
Physician Assistant
33 KENDALL ST
WORCESTER, MA 01605
Obstetrics & Gynecology
33 KENDALL ST
WORCESTER, MA 01605

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 Gina Sullivan's NPI number?

The NPI number for Gina Sullivan is 1265750228. It was assigned to this individual provider in the NPPES registry on May 13, 2010. The provider is also known as Gina Marie Tassone MD.

Where is Gina Sullivan located?

Gina Sullivan practices at 33 Kendall St, Worcester, MA 01605. The listed phone number is (508) 334-6255.

What is Gina Sullivan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Gina Sullivan enrolled in Medicare?

Yes. Gina Sullivan 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 Gina Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield list Gina Sullivan 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 Gina Sullivan affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Gina Sullivan was last updated on November 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.