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DAVID NESANELIS M.D.
NPI 1518287416
Internal Medicine in Leominster, MA

Active since June 03, 2010PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
60 HOSPITAL RD, LEOMINSTER, MA 01453(978) 466-4169(978) 466-4164 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 4, 2020, Apr 21, 2020, May 11, 2018 (3 updates tracked since 2018).

About David Nesanelis M.d. NPPES

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

DAVID NESANELIS M.D. (NPI 1518287416) is an individual internal medicine provider in Leominster, Massachusetts, licensed in Massachusetts (253172) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains a secondary practice location in Southbridge.

NPPES Registry Identity

NPI1518287416
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID NESANELISCredential: M.D.
Location Address60 HOSPITAL RDLeominster, MA 01453-2205
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(978) 466-4169
Fax(978) 466-4164
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 3, 2010
Last NPPES UpdateNovember 4, 20203 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
✔ NPI 1518287416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 253172
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.
60 HOSPITAL RD, Leominster, MA 01453
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Secondary Practice Location 1

Location 1100 South StreetSouthbridge, MA 01550-4051 · Phone (508) 765-9771 · Fax (508) 909-7735

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

David Nesanelis 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 ID8820246721
PECOS Enrollment IDI20120919000094
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

3

Medicare enrollment records show David Nesanelis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Heywood Memorial Hospital
12 mi
Hospitalist
242 GREEN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 344 clinicians in this Medicare group
NPI 1205448701 (978) 630-6944
Umass Memorial Medical Group Inc
19 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
Athol Memorial Hospital Incorporated
23 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

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 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
261 services245 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.
80 services79 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 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

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · 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

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
$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.

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

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…
100%27 patients5/55-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.

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.

DAVID J PETULLO MD
Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
LILLIAN RICH M.D.
Emergency Medicine
60 HOSPITAL RD, WACHUSETT EMERGENCY PHYSICIANS
LEOMINSTER, MA 01453
Worcester County (978) 466-2994
GERMAINE EARLE-CRUICKSHANKS D.O
Obstetrics & Gynecology (Hospice and Palliative Medicine)
60 HOSPITAL RD, HEALTH ALLIANCE HOSPITAL
LEOMINSTER, MA 01453
Worcester County (978) 466-2000
UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC
General Acute Care Hospital
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-2000
BINU PATHROSE MD
Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
DR. JAY LOUIS GLASER MD
Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
COORDINATED PRIMARY CARE INC
Hospitalist
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
KRISTINA M CECKOWSKI
Social Worker
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 728-0621

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 David Nesanelis's NPI number?

The NPI number for David Nesanelis is 1518287416. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is David Nesanelis located?

David Nesanelis practices at 60 Hospital Rd, Leominster, MA 01453. The listed phone number is (978) 466-4169.

What is David Nesanelis's specialty?

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

Is David Nesanelis enrolled in Medicare?

Yes. David Nesanelis 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 David Nesanelis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Nesanelis reassigns Medicare benefits to 3 organizations: Henry Heywood Memorial Hospital (Gardner, MA), Umass Memorial Medical Group Inc (Worcester, MA) and Athol Memorial Hospital Incorporated (Athol, 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 David Nesanelis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is David Nesanelis affiliated with any hospitals?

According to CMS data, David Nesanelis is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Heywood Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for David Nesanelis was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.