CYNTHIA MAY DUHAMEL PA-C
NPI 1558724468
Physician Assistant in Worcester, MA

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
48 ELM ST, WORCESTER, MA 01609(508) 757-0330 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 14, 2016, Mar 30, 2016 (2 updates tracked since 2016).

About Cynthia May Duhamel Pa-c NPPES

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

CYNTHIA MAY DUHAMEL PA-C (NPI 1558724468) is an individual physician assistant in Worcester, Massachusetts, licensed in Massachusetts (PA5657) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1558724468
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCYNTHIA MAY DUHAMELCredential: PA-C
Location Address48 ELM STWorcester, MA 01609-2541
Mailing Address48 Elm StWorcester, MA 01609-2541 · (508) 757-0330
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 30, 2016
Last NPPES UpdateDecember 14, 20162 updates tracked since enumeration
NPI 1558724468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · PA5657
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
48 ELM ST, Worcester, MA 01609

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

Cynthia May Duhamel Pa-c 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 ID7214224930
PECOS Enrollment IDI20160923001390
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 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

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

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01609 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
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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

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.

Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Dentist (Periodontics)
48 ELM ST
WORCESTER, MA 01609
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Behavior Technician
48 ELM ST
WORCESTER, MA 01609
Behavior Analyst
48 ELM ST
WORCESTER, MA 01609
Behavior Analyst
48 ELM ST
WORCESTER, MA 01609

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 Cynthia Duhamel's NPI number?

The NPI number for Cynthia Duhamel is 1558724468. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Cynthia Duhamel located?

Cynthia Duhamel practices at 48 Elm St, Worcester, MA 01609. The listed phone number is (508) 757-0330.

What is Cynthia Duhamel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cynthia Duhamel enrolled in Medicare?

Yes. Cynthia Duhamel 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 Cynthia Duhamel accept?

Health plans from Anthem Blue Cross and Blue Shield list Cynthia Duhamel 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 Cynthia Duhamel affiliated with any hospitals?

According to CMS data, Cynthia Duhamel is affiliated with Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Cynthia Duhamel was last updated on December 14, 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.