JOHN WORDEN M.D.
NPI 1326020223
Family Medicine in Gardner, MA
About John Worden M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN WORDEN M.D. (NPI 1326020223) is an individual family medicine provider in Gardner, Massachusetts, licensed in Massachusetts (158996) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of University Of Massachusetts Medical School (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
John Worden 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.
Medicare Billing Reassignment
Medicare enrollment records show John Worden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gardner, MA 01440
- Reassigned Medicare billing, Massachusetts enrollment
- 3 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 17
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Healthalliance Hospitals
Acute Care Hospitals · Leominster, MAHeywood Hospital
Acute Care Hospitals · Gardner, MAAthol Memorial Hospital
Critical Access Hospitals · Athol, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01440 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 6
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.
GARDNER, MA 01440
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 John Worden's NPI number?
The NPI number for John Worden is 1326020223. It was assigned to this individual provider in the NPPES registry on November 16, 2005.
Where is John Worden located?
John Worden practices at 250 Green St, Gardner, MA 01440. The listed phone number is (978) 630-6445.
What is John Worden's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Worden enrolled in Medicare?
Yes. John Worden 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 organization bills Medicare for John Worden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Worden reassigns Medicare benefits to Mercy Family Practice PC (Gardner, MA). The 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 John Worden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Worden accept?
Health plans from Anthem Blue Cross and Blue Shield list John Worden 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 John Worden affiliated with any hospitals?
According to CMS data, John Worden is affiliated with Umass Memorial Healthalliance Hospitals, Heywood Hospital and Athol Memorial Hospital.
When was this NPI record last updated?
The NPPES record for John Worden was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# John Worden, M.D. · NPI 1326020223
Family Medicine physician in Gardner, Massachusetts. Individual provider, active in the CMS NPPES registry since November 16, 2005.
## Identity
- **NPI:** 1326020223 (Entity type: Individual)
- **Enumerated:** November 16, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 158996 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 250 GREEN ST, Gardner, MA 01440-1396
- **Phone:** (978) 630-6445 · **Fax:** (978) 630-3603
## 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:** Mercy Family Practice PC (NPI 1295717106, Gardner, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Massachusetts Medical School, class of 1996
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Medicaid 3196801 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1326020223) · Data from the CMS NPPES public registry.