ERIKA M TOOMEY NP
NPI 1508486952
Nurse Practitioner - Acute Care in Worcester, MA

Active since April 25, 2020PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
33 KENDALL ST, WORCESTER, MA 01605(508) 334-8765(508) 334-9477 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 12, 2021, Apr 25, 2020 (2 updates tracked since 2020).

About Erika M Toomey Np NPPES

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

ERIKA M TOOMEY NP (NPI 1508486952) is an individual acute care provider in Worcester, Massachusetts, licensed in Massachusetts (RN2341546) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508486952
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameERIKA M TOOMEYCredential: NP
Location Address33 KENDALL STWorcester, MA 01605-2726
Mailing AddressPo Box 415348Boston, MA 02241-5348
Fax(508) 334-9477
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 25, 2020
Last NPPES UpdateNovember 28, 20232 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
NPI 1508486952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MA · RN2341546
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2341546 (MA)
33 KENDALL ST, Worcester, MA 01605

Other Names 1

Former Name (1)Erika M Murphy

Accepted 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

Erika M Toomey Np 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 ID1759799620
PECOS Enrollment IDI20210413002189
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 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.
287 services232 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
42 services35 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.
37 services34 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.
32 services32 patients

Hospital Affiliations CMS Care Compare 4

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220049
Location157 Union StreetMarlborough, MA 01752 · Middlesex County
Emergency services

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 01605 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.

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

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.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers12 claims16 services$7.77 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
4 suppliers13 claims587 services$0.22 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 20

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

Nurse Practitioner (Family)
33 KENDALL ST
WORCESTER, MA 01605
Physician Assistant
33 KENDALL ST
WORCESTER, MA 01605
Nurse Practitioner
33 KENDALL ST, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
WORCESTER, MA 01605
Obstetrics & Gynecology (Obstetrics)
33 KENDALL ST, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
WORCESTER, MA 01605
Radiology (Radiation Oncology)
33 KENDALL ST
WORCESTER, MA 01605
Obstetrics & Gynecology
33 KENDALL ST
WORCESTER, MA 01605
Nurse Practitioner (Women's Health)
33 KENDALL ST
WORCESTER, MA 01605
Obstetrics & Gynecology (Reproductive Endocrinology)
33 KENDALL ST
WORCESTER, MA 01605

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 Erika Toomey's NPI number?

The NPI number for Erika Toomey is 1508486952. It was assigned to this individual provider in the NPPES registry on April 25, 2020.

Where is Erika Toomey located?

Erika Toomey practices at 33 Kendall St, Worcester, MA 01605. The listed phone number is (508) 334-8765.

What is Erika Toomey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Erika Toomey enrolled in Medicare?

Yes. Erika Toomey 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 Erika Toomey accept?

Health plans from Anthem Blue Cross and Blue Shield list Erika Toomey 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 Erika Toomey affiliated with any hospitals?

According to CMS data, Erika Toomey is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Umass Memorial Healthcare-Marlborough Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Erika Toomey was last updated on November 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.