ARNO S. SUNGARIAN M.D.
NPI 1295791150
Neurological Surgery in Worcester, MA

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
67 BELMONT ST, WORCESTER, MA 01605(508) 752-6381(508) 795-0407 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2020, Sep 13, 2018, Dec 21, 2016 (3 updates tracked since 2016).

About Arno S. Sungarian M.d. NPPES

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

ARNO S. SUNGARIAN M.D. (NPI 1295791150) is an individual neurological surgery provider in Worcester, Massachusetts, licensed in Massachusetts (220038) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Warren Alpert Medical School Of Brown University (1997).

NPPES Registry Identity

NPI1295791150
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameARNO S. SUNGARIANCredential: M.D.
Location Address67 BELMONT STWorcester, MA 01605-2657
Mailing AddressPo Box 415348Boston, MA 02241-5348
Fax(508) 795-0407
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1997
Enumeration DateApril 20, 2006
Last NPPES UpdateOctober 26, 20203 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
NPI 1295791150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in MA · 220038
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
67 BELMONT ST, Worcester, MA 01605

Other Identifiers 1

Medicaid110036278AMA

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

Arno S. Sungarian 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 ID3577556463
PECOS Enrollment IDI20040406001319
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 11

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 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.
228 services195 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.
97 services97 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
49 services19 patients
Placement of stabilizing device to back, 3-6 spine bone segments 22842
This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
26 services26 patients
Harvest of bone fragment for spine bone graft 20937
A harvest of a bone fragment for a spine bone graft is a procedure where a small piece of bone is taken from another part of your body. This bone is then used to help repair or strengthen areas in your spine that may be damaged or weak.
20 services20 patients
Fusion of spine in neck by posterior approach 22600
Fusion of the spine in the neck by a posterior approach is a surgery to stabilize the neck. It involves connecting two or more vertebrae in the neck from the back side. This can reduce pain and improve stability by limiting movement of the neck.
19 services19 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

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

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 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.

Colon & Rectal Surgery
67 BELMONT ST
WORCESTER, MA 01605
Thoracic Surgery (Cardiothoracic Vascular Surgery)
67 BELMONT ST
WORCESTER, MA 01605
Psychiatry & Neurology (Neurology)
67 BELMONT ST
WORCESTER, MA 01605
Thoracic Surgery (Cardiothoracic Vascular Surgery)
67 BELMONT ST, DIVISION OF THORACIC SURGERY
WORCESTER, MA 01605
Psychiatry & Neurology (Neurology)
67 BELMONT ST
WORCESTER, MA 01605
Nurse Practitioner
67 BELMONT ST
WORCESTER, MA 01605
Otolaryngology
67 BELMONT ST, STE 103
WORCESTER, MA 01605
Surgery
67 BELMONT 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 Arno Sungarian's NPI number?

The NPI number for Arno Sungarian is 1295791150. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Arno Sungarian located?

Arno Sungarian practices at 67 Belmont St, Worcester, MA 01605. The listed phone number is (508) 752-6381.

What is Arno Sungarian's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Arno Sungarian enrolled in Medicare?

Yes. Arno Sungarian 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 Arno Sungarian accept?

Health plans from Anthem Blue Cross and Blue Shield list Arno Sungarian 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 Arno Sungarian affiliated with any hospitals?

According to CMS data, Arno Sungarian is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Heywood Hospital, Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Arno Sungarian was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.