GRACE DONOGHUE DMD
NPI 1326076423
Dentist - General Practice in Leominster, MA

Active since June 28, 2006PECOS Enrolled
81 WEST ST, LEOMINSTER, MA 01453(978) 534-9216(978) 537-6931 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace Donoghue Dmd NPPES

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

GRACE DONOGHUE DMD (NPI 1326076423) is an individual general practice provider in Leominster, Massachusetts, licensed in Massachusetts (16024) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326076423
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameGRACE DONOGHUECredential: DMD
Location Address81 WEST STLeominster, MA 01453-5649
Mailing Address81 West StLeominster, MA 01453-5649 · (978) 534-9216 · Fax (978) 537-6931
Fax(978) 537-6931
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1326076423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 16024
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
81 WEST ST, Leominster, MA 01453

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Donoghue Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Grace Donoghue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health
250 MOUNT VERNON ST
Dorchester, MA 02125
  • Reassigned Medicare billing, Massachusetts enrollment
  • 31 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01453 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
81 WEST ST
LEOMINSTER, MA 01453
Dentist (General Practice)
81 WEST ST
LEOMINSTER, MA 01453
Dentist (General Practice)
81 WEST ST
LEOMINSTER, MA 01453
Dentist (General Practice)
81 WEST ST
LEOMINSTER, MA 01453
Dentist (General Practice)
81 WEST ST
LEOMINSTER, MA 01453
Dentist (General Practice)
81 WEST ST
LEOMINSTER, MA 01453
Dentist (General Practice)
81 WEST ST
LEOMINSTER, MA 01453
Dentist (General Practice)
81 WEST ST
LEOMINSTER, MA 01453

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 Grace Donoghue's NPI number?

The NPI number for Grace Donoghue is 1326076423. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Grace Donoghue located?

Grace Donoghue practices at 81 West St, Leominster, MA 01453. The listed phone number is (978) 534-9216.

What is Grace Donoghue's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Grace Donoghue enrolled in Medicare?

Yes. Grace Donoghue is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Grace Donoghue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Donoghue reassigns Medicare benefits to Harbor Health Services Inc (Dorchester, 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 Grace Donoghue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Donoghue accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Grace Donoghue 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.

When was this NPI record last updated?

The NPPES record for Grace Donoghue was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.