JUAN P. VERNON MD
NPI 1336196674
Emergency Medicine in Worcester, MA
About Juan P. Vernon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUAN P. VERNON MD (NPI 1336196674) is an individual emergency medicine provider in Worcester, Massachusetts, licensed in Massachusetts (227758) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Juan P. Vernon 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
6Medicare enrollment records show Juan Vernon reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01608
- Reassigned Medicare billing, Massachusetts enrollment
- 90 clinicians in this Medicare group
Gardner, MA 01440
- Reassigned Medicare billing, Massachusetts enrollment
- 344 clinicians in this Medicare group
Palmer, MA 01069
- Reassigned Medicare billing, Massachusetts enrollment
- 86 clinicians in this Medicare group
Athol, MA 01331
- Reassigned Medicare billing, Massachusetts enrollment
- 324 clinicians in this Medicare group
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 247 clinicians in this Medicare group
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 253 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Heywood 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 01608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 01608
WORCESTER, MA 01608
WORCESTER, MA 01608
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 Juan Vernon's NPI number?
The NPI number for Juan Vernon is 1336196674. It was assigned to this individual provider in the NPPES registry on May 30, 2006.
Where is Juan Vernon located?
Juan Vernon practices at 123 Summer St, Worcester, MA 01608. The listed phone number is (508) 363-6025.
What is Juan Vernon's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Juan Vernon enrolled in Medicare?
Yes. Juan Vernon 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 Juan Vernon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Juan Vernon reassigns Medicare benefits to 6 organizations: Emergency Physician Associates Of Massachusetts PC (Worcester, MA), Henry Heywood Memorial Hospital (Gardner, MA), Baystate Wing Hospital Corporation (Palmer, MA), Athol Memorial Hospital Incorporated (Athol, MA), Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA) and 1 more organization, listed in the Medicare section above. 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 Juan Vernon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Juan Vernon accept?
Health plans from Taro Health list Juan Vernon 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 Juan Vernon affiliated with any hospitals?
According to CMS data, Juan Vernon is affiliated with Heywood Hospital and Athol Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Juan Vernon was last updated on May 20, 2021. 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.
# Juan P. Vernon, MD · NPI 1336196674
Emergency Medicine physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since May 30, 2006.
## Identity
- **NPI:** 1336196674 (Entity type: Individual)
- **Enumerated:** May 30, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 227758 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 123 SUMMER ST, Worcester, MA 01608-1216
- **Phone:** (508) 363-6025
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Emergency Physician Associates Of Massachusetts PC (NPI 1730885252, Worcester, MA); Henry Heywood Memorial Hospital (NPI 1205448701, Gardner, MA); Baystate Wing Hospital Corporation (NPI 1962410233, Palmer, MA); Athol Memorial Hospital Incorporated (NPI 1336120047, Athol, MA); Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (NPI 1316987993, Boston, MA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** May 20, 2021
- **Other identifiers:** Medicaid 110075221A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1336196674) · Data from the CMS NPPES public registry.