CRISTINA A GAVALA MD
NPI 1316921802
Internal Medicine in Worcester, MA
About Cristina A Gavala Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRISTINA A GAVALA MD (NPI 1316921802) is an individual internal medicine provider in Worcester, Massachusetts, licensed in Massachusetts (216967) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 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
Cristina A Gavala 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.
Medicare Billing Reassignments
2Medicare enrollment records show Cristina Gavala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Marlborough, MA 01752
- Reassigned Medicare billing, Massachusetts enrollment
- 88 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 4
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
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, MAPhysician 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.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Cristina Gavala's NPI number?
The NPI number for Cristina Gavala is 1316921802. It was assigned to this individual provider in the NPPES registry on November 30, 2005.
Where is Cristina Gavala located?
Cristina Gavala practices at 119 Belmont St, Worcester, MA 01605. The listed phone number is (508) 334-8515.
What is Cristina Gavala's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Cristina Gavala enrolled in Medicare?
Yes. Cristina Gavala 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 Cristina Gavala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cristina Gavala reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Group Inc (Worcester, MA) and Marlborough Hospitalist Group, PLLC (Marlborough, 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 Cristina Gavala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cristina Gavala accept?
Health plans from Taro Health list Cristina Gavala 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 Cristina Gavala affiliated with any hospitals?
According to CMS data, Cristina Gavala is affiliated with Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Cristina Gavala was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Cristina A Gavala, MD · NPI 1316921802
Internal Medicine physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since November 30, 2005.
## Identity
- **NPI:** 1316921802 (Entity type: Individual)
- **Enumerated:** November 30, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 216967 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 119 BELMONT ST, Worcester, MA 01605-2903
- **Phone:** (508) 334-8515 · **Fax:** (508) 334-6490
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA); Marlborough Hospitalist Group, PLLC (NPI 1316639321, Marlborough, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** October 29, 2020
- **Other identifiers:** Medicaid 110039374A (MA); Other AA22833
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Source: [NPI Profile](https://npiprofile.com/npi/1316921802) · Data from the CMS NPPES public registry.