MRS. KRISTEN MARIE GHERGUROVICH M.D.
NPI 1386626125
Internal Medicine in Wilmington, MA

Q: What is Kristen Ghergurovich's NPI number?

The NPI number for Kristen Ghergurovich is 1386626125. It was assigned to this individual provider in the NPPES registry on November 17, 2005. The provider is also known as Dr. Kristen Marie Ghergurovich MD.

Q: What is Kristen Ghergurovich's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment

91.41/100

CMS Quality Rating

500 SALEM STREET, WOBURN MEDICAL ASSOCIATES PC, WILMINGTON, MA 01887(978) 988-9255(978) 694-9675 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Kristen Marie Ghergurovich M.d. NPPES

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

MRS. KRISTEN MARIE GHERGUROVICH M.D. (NPI 1386626125) is an individual internal medicine provider in Wilmington, Massachusetts, licensed in Massachusetts (209330) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of University Of Massachusetts Medical School (1988).

NPPES Registry Identity

NPI1386626125

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMRS. KRISTEN MARIE GHERGUROVICHCredential: M.D.

Location Address500 SALEM STREET, WOBURN MEDICAL ASSOCIATES PCWilmington, MA 01887

Mailing AddressP.o. Box 760Winchester, MA 01890-4260 · (781) 756-7273 · Fax (781) 721-0725

Phone(978) 988-9255

Fax(978) 694-9675

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1988

Enumeration DateNovember 17, 2005

Last NPPES UpdateJune 12, 2012

✔ NPI 1386626125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MA · 209330

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

500 SALEM STREET, Wilmington, MA 01887

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Other Names 1

Professional Name (2)Dr. Kristen Marie Ghergurovich Md

Other Identifiers 5

Other209330Tufts

Medicare ID-Type UnspecifiedA32478

Medicaid0129950MA

OtherJ23621Bcbs

Medicare UPINH38864

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kristen Marie Ghergurovich 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.

PECOS PAC ID6103001821

PECOS Enrollment IDI20110422000396

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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

306 services159 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

91 services80 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

54 services54 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

53 services53 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

45 services43 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

44 services42 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

44 services42 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

36 services36 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

34 services34 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

30 services16 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

26 services21 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

26 services26 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

19 services18 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

15 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

12 services12 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220010

LocationOne General StreetLawrence, MA 01842 · Essex County

Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220033

Location85 Herrick StreetBeverly, MA 01915 · Essex County

Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220086

Location330 Brookline AvenueBoston, MA 02215 · Suffolk County

Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220105

Location41 Highland AvenueWinchester, MA 01890 · Middlesex County

Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220171

Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01887 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

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.

91.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.87

Promoting Interoperability

100

Improvement Activities

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers13 claims32 services$4.95 avg. paid by Medicare

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

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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.

DR. EDWARD CURCIO III MD

Emergency Medicine

500 SALEM STREET
WILMINGTON, MA 01887

Middlesex County (978) 988-6000

DR. NEETI JHA M.D.

Internal Medicine

500 SALEM STREET
WILMINGTON, MA 01887

Middlesex County (978) 988-9255

PATRICIA LINDQUIST

Emergency Medicine

500 SALEM STREET
WILMINGTON, MA 01887

Middlesex County (978) 988-6000

LAURA ARMSTRONG N.P.

Nurse Practitioner

500 SALEM STREET
WILMINGTON, MA 01887

Middlesex County (978) 988-6000

DR. ALISON CURCIO MD

Emergency Medicine

500 SALEM STREET
WILMINGTON, MA 01887

Middlesex County (978) 988-6000

LILLIAN SIDNEY MOY-YEE M.D.

Internal Medicine

500 SALEM STREET, WOBURN MEDICAL ASSOCIATES OPC
WILMINGTON, MA 01887

Middlesex County (978) 988-9255

DR. ROBERT PATRICK WILLIAMSON MD

Internal Medicine

500 SALEM STREET
WILMINGTON, MA 01887

Middlesex County (978) 988-6000

TRACI L ALBERTI NP

Nurse Practitioner (Family)

500 SALEM STREET
WILMINGTON, MA 01887

Middlesex County (978) 988-6000

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 Kristen Ghergurovich's NPI number?

The NPI number for Kristen Ghergurovich is 1386626125. It was assigned to this individual provider in the NPPES registry on November 17, 2005. The provider is also known as Dr. Kristen Marie Ghergurovich MD.

Where is Kristen Ghergurovich located?

Kristen Ghergurovich practices at 500 Salem Street Woburn Medical Associates PC, Wilmington, MA 01887. The listed phone number is (978) 988-9255.

What is Kristen Ghergurovich's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kristen Ghergurovich enrolled in Medicare?

Yes. Kristen Ghergurovich 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.

What insurance does Kristen Ghergurovich accept?

Health plans from Anthem Blue Cross and Blue Shield list Kristen Ghergurovich 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 Kristen Ghergurovich affiliated with any hospitals?

According to CMS data, Kristen Ghergurovich is affiliated with Lawrence General Hospital, Northeast Hospital Corporation, Beth Israel Deaconess Medical Center, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Kristen Ghergurovich was last updated on June 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.