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CAROLINE GAFFNEY
NPI 1548642929
Nurse Practitioner - Adult Health in Southbridge, MA

Active since June 23, 2015PECOS Enrolled
94 SOUTH ST, SOUTHBRIDGE, MA 01550(508) 765-2125(508) 764-2833 Get Directions Write a Review

NPPES record last updated: December 27, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Caroline Gaffney NPPES

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

CAROLINE GAFFNEY (NPI 1548642929) is an individual adult health provider in Southbridge, Massachusetts, licensed in Massachusetts (RN2312483) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548642929
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCAROLINE GAFFNEY
Location Address94 SOUTH STSouthbridge, MA 01550-4000
Mailing AddressPo Box 40Southbridge, MA 01550-0040 · (508) 909-7799
Phone(508) 765-2125
Fax(508) 764-2833
Sole ProprietorNo
Enumeration DateJune 23, 2015
Last NPPES UpdateDecember 27, 2016
✔ NPI 1548642929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in MA · RN2312483✔ Licensed in NY · 307264
94 SOUTH ST, Southbridge, MA 01550
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline Gaffney is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Caroline Gaffney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Umass Memorial Medical Group, Inc.
10 mi
Urgent Care
78 SUTTON AVE
Oxford, MA 01540
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1982381018 (508) 499-1760
Umass Memorial Medical Center, Inc
16 mi
Dietitian, Registered
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 63 clinicians in this Medicare group
NPI 1679131361 (508) 334-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01550 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.

Other Providers at the Same Location NPPES 14

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

STEPHEN T HILBORN MD
Surgery
94 SOUTH ST, HARRINGTON PHYSICIAN SERVICES
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-2772
LISA GAY SCHNARE C.S.F.A.
Specialist/Technologist, Other (Surgical Assistant)
94 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-2772
KONSTANTINO A AVRADOPOULOS MD
Surgery
94 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-6966
DR. CHARLES A SOMMER MD
Orthopaedic Surgery
94 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-2772
YOUNG-HO OH M.D.
Orthopaedic Surgery
94 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-2772
SAMANTHA M CHASE MD
Orthopaedic Surgery
94 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-2772
EVAN PAUL PROVISOR MD
Surgery
94 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-6966
DR. HARRY WATKEY EASTERLY III MD
Surgery
94 SOUTH ST
SOUTHBRIDGE, MA 01550
Worcester County (508) 764-6966

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 Caroline Gaffney's NPI number?

The NPI number for Caroline Gaffney is 1548642929. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Caroline Gaffney located?

Caroline Gaffney practices at 94 South St, Southbridge, MA 01550. The listed phone number is (508) 765-2125.

What is Caroline Gaffney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Caroline Gaffney enrolled in Medicare?

Yes. Caroline Gaffney is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Caroline Gaffney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Gaffney reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Group, Inc. (Oxford, MA) and Umass Memorial Medical Center, Inc (Worcester, 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 Caroline Gaffney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Caroline Gaffney was last updated on December 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.