DR. JOHN VALENTINE CHISHOLM III M.D.
NPI 1366731150
Family Medicine - Addiction Medicine in Worcester, MA

Q: What is John Chisholm's NPI number?

The NPI number for John Chisholm is 1366731150. It was assigned to this individual provider in the NPPES registry on April 1, 2011.

Q: What is John Chisholm's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Q: When was this NPI record last updated?

The NPPES record for John Chisholm was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 01, 2011PECOS Enrolled

5 NEPONSET ST, WORCESTER, MA 01606(508) 595-2300(508) 853-5226 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. John Valentine Chisholm Iii M.d. NPPES

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

DR. JOHN VALENTINE CHISHOLM III M.D. (NPI 1366731150) is an individual addiction medicine provider in Worcester, Massachusetts, licensed in Massachusetts (277524) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Colchester.

NPPES Registry Identity

NPI1366731150

Entity TypeIndividualMale

Primary Taxonomy207QA0401X

Provider Legal NameDR. JOHN VALENTINE CHISHOLM IIICredential: M.D.

Location Address5 NEPONSET STWorcester, MA 01606

Mailing Address5 Neponset StWorcester, MA 01606-2714 · (508) 595-2300 · Fax (508) 853-5226

Phone(508) 595-2300

Fax(508) 853-5226

Sole ProprietorNo

Enumeration DateApril 1, 2011

Last NPPES UpdateJanuary 4, 2019

✔ NPI 1366731150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in MA · 277524

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 042-0012873 (VT)

5 NEPONSET ST, Worcester, MA 01606

Open in Google Maps ↗

Secondary Practice Location 1

Location 1883 Blakely RdColchester, VT 05446-4417 · Phone (802) 847-2055 · Fax (802) 847-1688

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Valentine Chisholm Iii M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01606 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

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier13 claims13 services$14.83 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier21 claims21 services$67.60 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. PRANATHI NARAYANAREDDY

Internal Medicine (Rheumatology)