DR. JOHN A FERULLO MD
NPI 1528056439
Specialist in Worcester, MA

NPI Status: Active since October 13, 2005

Contact Information

123 SUMMER ST
SUITE #655
WORCESTER, MA
ZIP 01608
Phone: (508) 363-9335
Fax: (508) 363-6111

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  • Individual
  • Male
  • Years of Experience 50
  • Specialist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JOHN FERULLO

This page provides the complete NPI Profile along with additional information for John Ferullo, a provider established in Worcester, Massachusetts with a medical specialization in Specialist and more than 50 years of experience. He graduated from University Of Vermont College Of Medicine in 1976. The healthcare provider is registered in the NPI registry with number 1528056439 assigned on October 2005. The practitioner's primary taxonomy code is 174400000X with license number 42974 (MA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1528056439
Provider Name
DR. JOHN A FERULLO MD
Gender
Male
Entity Type
Individual
Location Address
123 SUMMER ST SUITE #655 WORCESTER, MA 01608
Location Phone
(508) 363-9335
Location Fax
(508) 363-6111
Mailing Address
123 SUMMER ST SUITE #655 WORCESTER, MA 01608
Mailing Phone
(508) 363-9335
Mailing Fax
(508) 363-6111
Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year
1976
Is Sole Proprietor?
No
Enumeration Date
10-13-2005
Last Update Date
05-14-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
42974
License State
MA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0000808OTHER (01)MANEIGHBORHOOD HELATH
983631OTHER (01)MANETWORK HEALTH
060050947OTHER (01)MARAILROAD MEDICARE
2580562OTHER (01)MAEVERCARE
M17087OTHER (01)MABLUE CROSS BLUE SHIELD
4589594OTHER (01)MAAETNA HEALTCARE
448620OTHER (01)MACIGNA
2039033OTHER (01)MAUS HEALTHCARE
3577OTHER (01)MAHARVARD PILGRIM HEALTH
042974OTHER (01)MATUFTS HEALTHCARE
19068OTHER (01)MAFALLON HEALTHCARE
A34540MEDICARE UPIN (02)MA 
B18225MEDICARE ID-TYPE UNSPECIFIED (04)MA 
2072432MEDICAID (05)MA 

Medicare Participation & PECOS Enrollment Status

John Ferullo is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

John Ferullo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7416849708

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040330000388

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 31 times for 25 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

This service was performed 13 times for 13 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 71 times for 71 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

This service was performed 100 times for 84 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

This service was performed 101 times for 87 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

This service was performed 19 times for 19 patients

Reviews for DR. JOHN A FERULLO MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528056439
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548051246
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 0 + 5 + 1 + 2 + 4 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1528056439 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. ROBERT Q TERRILL M.D.

Specialist

123 SUMMER ST
STE 685
WORCESTER, MA
ZIP 01608

(508) 363-6446

MR. DONALD JAMES DESIO MD

Obstetrics & Gynecology

123 SUMMER ST
SUITE 150 S
WORCESTER, MA
ZIP 01608

(508) 368-3110

JOSEPH RALPH BENOTTI MD

Internal Medicine

(Cardiovascular Disease)

123 SUMMER ST
SUITE 660
WORCESTER, MA
ZIP 01608

(508) 363-6330

DR. ELISE A JACQUES MD

Internal Medicine

(Gastroenterology)

123 SUMMER ST
SUITE 650
WORCESTER, MA
ZIP 01608

(508) 363-9570

WILLIAM J MORGAN MD

Orthopaedic Surgery

(Hand Surgery)

123 SUMMER ST
STE 320
WORCESTER, MA
ZIP 01608

(508) 368-3140

DR. CRAIG L. BEST M.D.

Obstetrics & Gynecology

123 SUMMER ST
SUITE 150 S
WORCESTER, MA
ZIP 01608

(508) 368-3110

SUSAN KILMER TEPLOW CNM

Advanced Practice Midwife

123 SUMMER ST
ST. VINCENT HOSPITAL
WORCESTER, MA
ZIP 01608

(508) 363-6032

GARY R KEILSON MD

Psychiatry & Neurology

(Neurology)

123 SUMMER ST
SUITE 230 S
WORCESTER, MA
ZIP 01608

(508) 368-3150

MARIBETH WALLACE HALL CNM

Advanced Practice Midwife

123 SUMMER ST
SUITE 150 S
WORCESTER, MA
ZIP 01608

(508) 368-3110

DR. HAROLD M ARKOFF M.D.

Anesthesiology

123 SUMMER ST
WORCESTER, MA
ZIP 01608

(508) 363-7726

JOSEPH G KIRKPATRICK JR. MD

Internal Medicine

(Cardiovascular Disease)

123 SUMMER ST
SUITE 290 N
WORCESTER, MA
ZIP 01608

(508) 368-3130

DR. JAYANT GOPAL PHADKE MD

Psychiatry & Neurology

(Neurology)

123 SUMMER ST
STE 695
WORCESTER, MA
ZIP 01608

(508) 363-5630

DR. DOUGLAS W SCUDDER M.D.

Emergency Medicine

123 SUMMER ST
DEPARTMENT OF EMERGENCY MEDICINE
WORCESTER, MA
ZIP 01608

(508) 363-6076

JOHN G NAJJAR MD

Surgery

(Vascular Surgery)

123 SUMMER ST
SUITE 210
WORCESTER, MA
ZIP 01608

(508) 368-3190

DIANE L. HERLIHY-RAYLA CNM

Advanced Practice Midwife

123 SUMMER ST
WORCESTER, MA
ZIP 01608

(508) 368-3110

RICHARD M WHOLEY M.D

Internal Medicine

(Cardiovascular Disease)

123 SUMMER ST
STE 273
WORCESTER, MA
ZIP 01608

(508) 363-6327

DR. PETER CARL LINDBLAD M.D.

Internal Medicine

123 SUMMER ST
SUITE 370
WORCESTER, MA
ZIP 01608

(508) 363-7300

SUZANNE WEISS M.D.

Pediatrics

123 SUMMER ST
SUITE 690
WORCESTER, MA
ZIP 01608

(508) 363-9530

JUDITH EVANS M.D.

Pediatrics

123 SUMMER ST
SUITE 690
WORCESTER, MA
ZIP 01608

(508) 363-9530

ANNE CHAFFEE M.D.

Pediatrics

123 SUMMER ST
SUITE 690
WORCESTER, MA
ZIP 01608

(508) 363-9530

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528056439, enumerated as an "individual" on October 13, 2005.

The provider is located at 123 SUMMER ST SUITE #655 WORCESTER, MA 01608 and the phone number is (508) 363-9335.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare,. Please consult your insurance carrier or call the provider to verify.