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HELEN HENEGHAN M.D.
NPI 1427120476
Family Medicine in Ashburnham, MA

Active since November 14, 2006PECOS Enrolled
61 MAIN ST, ASHBURNHAM, MA 01430(978) 827-5167 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Helen Heneghan M.d. NPPES

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

HELEN HENEGHAN M.D. (NPI 1427120476) is an individual family medicine provider in Ashburnham, Massachusetts, licensed in Massachusetts (260058) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427120476
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHELEN HENEGHANCredential: M.D.
Location Address61 MAIN STAshburnham, MA 01430-1247
Mailing Address61 Main StAshburnham, MA 01430-1247 · (978) 827-5167
Phone(978) 827-5167
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateSeptember 18, 2014
✔ NPI 1427120476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MA · 260058✔ Licensed in NH · 10531
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
61 MAIN ST, Ashburnham, MA 01430
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Other Identifiers 3

Medicaid30200362NH
Medicare PINRE5315NH
Medicare UPING95657

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Helen Heneghan 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Helen Heneghan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Heywood Memorial Hospital
5.2 mi
Hospitalist
242 GREEN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 344 clinicians in this Medicare group
NPI 1205448701 (978) 630-6944
Heywood Medical Group Inc.
5.2 mi
General Practice
242 GREEN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 218 clinicians in this Medicare group
NPI 1699762286 (978) 630-5076
Athol Memorial Hospital Incorporated
16 mi
Critical Access
2033 MAIN STREET
Athol, MA 01331
  • Reassigned Medicare billing, Massachusetts enrollment
  • 324 clinicians in this Medicare group
NPI 1336120047 (978) 249-3511
Brattleboro Memorial Hospital
36 mi
General Acute Care Hospital
17 BELMONT AVE
Brattleboro, VT 05301
  • Reassigned Medicare billing, Vermont enrollment
  • 101 clinicians in this Medicare group
NPI 1306849708 (802) 257-0341

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.

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.
19 services19 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01430 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
$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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
82%165 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
78%269 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
37%27 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%1,932 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%48 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
34%693 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
36%382 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%693 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
33%693 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
45%693 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

HALEY MARIE BOGDASARIAN PA-C
Physician Assistant
61 MAIN ST
ASHBURNHAM, MA 01430
Worcester County (978) 827-5167
CATHERINE WHITAKER MS, AGCNP-BC
Nurse Practitioner
61 MAIN ST
ASHBURNHAM, MA 01430
Worcester County (978) 827-5167
ASHBURNHAM DENTAL ARTS, P.C
Dentist
61 MAIN ST
ASHBURNHAM, MA 01430
Worcester County (978) 827-3115
MS. VICTORIA LYNN PETERSON DMD
Dentist (General Practice)
61 MAIN ST
ASHBURNHAM, MA 01430
Worcester County (978) 827-3115

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 Helen Heneghan's NPI number?

The NPI number for Helen Heneghan is 1427120476. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Helen Heneghan located?

Helen Heneghan practices at 61 Main St, Ashburnham, MA 01430. The listed phone number is (978) 827-5167.

What is Helen Heneghan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Helen Heneghan enrolled in Medicare?

Yes. Helen Heneghan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Helen Heneghan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Helen Heneghan reassigns Medicare benefits to 4 organizations: Henry Heywood Memorial Hospital (Gardner, MA), Heywood Medical Group Inc. (Gardner, MA), Athol Memorial Hospital Incorporated (Athol, MA) and Brattleboro Memorial Hospital (Brattleboro, VT). 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 Helen Heneghan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Helen Heneghan was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.