SOTIRAQ TEROVA M.D.
NPI 1457386369
Internal Medicine in Westborough, MA

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
150 FLANDERS RD, WESTBOROUGH, MA 01581(413) 543-6820(413) 543-7962 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sotiraq Terova M.d. NPPES

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

SOTIRAQ TEROVA M.D. (NPI 1457386369) is an individual internal medicine provider in Westborough, Massachusetts, licensed in Massachusetts (254280) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Milford Regional Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1457386369
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSOTIRAQ TEROVACredential: M.D.
Location Address150 FLANDERS RDWestborough, MA 01581-1017
Mailing Address819 Worcester St, Suite 3Springfield, MA 01151-1045 · (413) 543-6820 · Fax (413) 543-7962
Fax(413) 543-7962
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 11, 2006
Last NPPES UpdateMarch 11, 2019
NPI 1457386369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 254280
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.
Also ListedHospitalistTaxonomy 208M00000X · License 254280 (MA)
150 FLANDERS RD, Westborough, MA 01581

Other Identifiers 1

Medicaid110095245AMA

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

Sotiraq Terova 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 ID2365449816
PECOS Enrollment IDI20130507000708
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,613 services253 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
983 services222 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
207 services185 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
204 services188 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
203 services198 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
191 services77 patients

Hospital Affiliations CMS Care Compare 3

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

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

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

Metrowest Medical Center

Acute Care Hospitals · Framingham, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220175
Location115 Lincoln StreetFramingham, MA 01701 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01581 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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
89%122 patients4/55-star benchmark: 100%
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.

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
2 suppliers26 claims26 services$14.32 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
3 suppliers56 claims56 services$63.27 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 17

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

Rehabilitation Hospital
150 FLANDERS RD
WESTBOROUGH, MA 01581
Psychologist (Health Service)
150 FLANDERS RD
WESTBOROUGH, MA 01581
Internal Medicine (Hematology & Oncology)
150 FLANDERS RD
WESTBOROUGH, MA 01581
Internal Medicine (Pulmonary Disease)
150 FLANDERS RD
WESTBOROUGH, MA 01581
Physical Medicine & Rehabilitation
150 FLANDERS RD
WESTBOROUGH, MA 01581
Physical Therapist
150 FLANDERS RD
WESTBOROUGH, MA 01581
Internal Medicine
150 FLANDERS RD
WESTBOROUGH, MA 01581
Audiologist
150 FLANDERS RD
WESTBOROUGH, MA 01581

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 Sotiraq Terova's NPI number?

The NPI number for Sotiraq Terova is 1457386369. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Sotiraq Terova located?

Sotiraq Terova practices at 150 Flanders Rd, Westborough, MA 01581. The listed phone number is (413) 543-6820.

What is Sotiraq Terova's specialty?

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

Is Sotiraq Terova enrolled in Medicare?

Yes. Sotiraq Terova 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.

Is Sotiraq Terova affiliated with any hospitals?

According to CMS data, Sotiraq Terova is affiliated with Milford Regional Medical Center, Umass Memorial Medical Center/University Campus and Metrowest Medical Center.

When was this NPI record last updated?

The NPPES record for Sotiraq Terova was last updated on March 11, 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.