DR. THOMAS PTAK MD PHD
NPI 1467436394
Radiology - Diagnostic Radiology in Worcester, MA
About Dr. Thomas Ptak Md Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS PTAK MD PHD (NPI 1467436394) is an individual diagnostic radiology provider in Worcester, Massachusetts, licensed in Pennsylvania (MD487489) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains 11 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 11
Other Identifiers 2
Accepted 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
Dr. Thomas Ptak Md Phd 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.
Medicare Billing Reassignments
7Medicare enrollment records show Thomas Ptak reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts and Maryland enrollments
- 2,902 clinicians in this Medicare group
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts and Maryland enrollments
- 169 clinicians in this Medicare group
Allentown, PA 18103
- Reassigned Medicare billing, Maryland enrollment
- 4 clinicians in this Medicare group
Reinholds, PA 17569
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
Aberdeen, MD 21001
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1154335487 (District of Columbia)
- 130 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 122 clinicians in this Medicare group
Glen Burnie, MD 21061
- Reassigned Medicare billing, Maryland enrollment
- 123 clinicians in this Medicare group
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 40
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Healthalliance Hospitals
Acute Care Hospitals · Leominster, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAWellspan York Hospital
Acute Care Hospitals · York, PAGettysburg Hospital
Acute Care Hospitals · Gettysburg, PAWellspan Good Samaritan Hospital
Acute Care Hospitals · Lebanon, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Thomas Ptak's NPI number?
The NPI number for Thomas Ptak is 1467436394. It was assigned to this individual provider in the NPPES registry on December 5, 2005.
Where is Thomas Ptak located?
Thomas Ptak practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-3850.
What is Thomas Ptak's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Thomas Ptak enrolled in Medicare?
Yes. Thomas Ptak 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 Thomas Ptak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Ptak reassigns Medicare benefits to 7 organizations: Umass Memorial Medical Group Inc (Worcester, MA), Umass Memorial Radiology Phys Serv (Worcester, MA), Medical Imaging Of Lehigh Valley PC (Allentown, PA), Wellspan Medical Group (Reinholds, PA), University Of Maryland Diagnostic Imaging Specialists P A (Aberdeen, MD) and 2 more organizations, listed in the Medicare section above. 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 Thomas Ptak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Ptak accept?
Health plans from Taro Health list Thomas Ptak 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 Thomas Ptak affiliated with any hospitals?
According to CMS data, Thomas Ptak is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Medical Center/University Campus, Wellspan York Hospital, Gettysburg Hospital and Wellspan Good Samaritan Hospital.
When was this NPI record last updated?
The NPPES record for Thomas Ptak was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.