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LEAH GRODIN RICHLER MD
NPI 1417376849
Psychiatry & Neurology - Psychiatry in Leominster, MA

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
40 SPRUCE ST, LEOMINSTER, MA 01453(978) 537-6116(978) 534-3294 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2021, Dec 3, 2020, Jul 31, 2018 and 1 more (4 updates tracked since 2018).

About Leah Grodin Richler Md NPPES

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

LEAH GRODIN RICHLER MD (NPI 1417376849) is an individual psychiatry provider in Leominster, Massachusetts, licensed in Massachusetts (274625) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417376849
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameLEAH GRODIN RICHLERCredential: MD
Location Address40 SPRUCE STLeominster, MA 01453
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(978) 537-6116
Fax(978) 534-3294
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2014
Enumeration DateApril 14, 2014
Last NPPES UpdateAugust 17, 20214 updates tracked since enumeration
NPPES CertifiedAugust 17, 2021
✔ NPI 1417376849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MA · 274625
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
40 SPRUCE ST, Leominster, MA 01453
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Other Names 1

Former Name (1)Leah Fran Grodin Md

Secondary Practice Locations 2

Location 133 Lyman StWestborough, MA 01581-1404 · Phone (508) 898-0055 · Fax (508) 898-0035
Location 2201 Highland StClinton, MA 01510-1037 · Phone (978) 368-3000 · Fax (978) 368-3838

Accepted Insurance

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

Leah Grodin Richler 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.

PECOS PAC ID6103042627
PECOS Enrollment IDI20180810001307
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 Reassignments

2

Medicare enrollment records show Leah Richler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Umass Memorial Medical Group Inc
18 mi
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1760445373 (508) 334-1000
Community Neuroscience Services, LLC
18 mi
Neurology
33 LYMAN ST STE 400
Westborough, MA 01581
  • Reassigned Medicare billing, Massachusetts enrollment
  • 29 clinicians in this Medicare group
NPI 1578940219 (508) 898-0055

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 4

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.
737 services190 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
93 services92 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
38 services20 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.
18 services11 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
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.

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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

GRACE HANLEY MA COUNSELING
Counselor
40 SPRUCE ST
LEOMINSTER, MA 01453
Worcester County (978) 534-6116
BADU ADJEI PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
40 SPRUCE ST
LEOMINSTER, MA 01453
Worcester County (978) 534-6116
DELILAH HENRY LCSW
Social Worker
40 SPRUCE ST
LEOMINSTER, MA 01453
Worcester County (800) 977-5555
DEBORAH BERMAN
Counselor
40 SPRUCE ST
LEOMINSTER, MA 01453
Worcester County (978) 534-6116
JOSHUA DIGGINS LMHC
Counselor (Mental Health)
40 SPRUCE ST
LEOMINSTER, MA 01453
Worcester County (978) 466-3820
JESSE C. CHAISON
Counselor
40 SPRUCE ST
LEOMINSTER, MA 01453
Worcester County (978) 466-3820
JARED D PERRY MSW
Counselor
40 SPRUCE ST
LEOMINSTER, MA 01453
Worcester County (978) 466-3820
ELAINE DONNA TOUSIGNANT LICSW
Counselor (Mental Health)
40 SPRUCE ST
LEOMINSTER, MA 01453
Worcester County (978) 840-9301

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 Leah Richler's NPI number?

The NPI number for Leah Richler is 1417376849. It was assigned to this individual provider in the NPPES registry on April 14, 2014. The provider is also known as Leah Fran Grodin MD.

Where is Leah Richler located?

Leah Richler practices at 40 Spruce St, Leominster, MA 01453. The listed phone number is (978) 537-6116.

What is Leah Richler's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Leah Richler enrolled in Medicare?

Yes. Leah Richler 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 Leah Richler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leah Richler reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Group Inc (Worcester, MA) and Community Neuroscience Services, LLC (Westborough, MA). 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 Leah Richler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leah Richler accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Leah Richler 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 Leah Richler affiliated with any hospitals?

According to CMS data, Leah Richler is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Leah Richler was last updated on August 17, 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.