SHARON PLAN MACNEIL PA
NPI 1558749754
Physician Assistant in Westminster, MA

Active since May 08, 2015PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
16 WYMAN RD, WESTMINSTER, MA 01473(978) 874-6409 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sharon Plan Macneil Pa NPPES

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

SHARON PLAN MACNEIL PA (NPI 1558749754) is an individual physician assistant in Westminster, Massachusetts, licensed in Massachusetts (PA5349) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1558749754
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHARON PLAN MACNEILCredential: PA
Location Address16 WYMAN RDWestminster, MA 01473-1601
Mailing Address16 Wyman RdWestminster, MA 01473-1601
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 8, 2015
NPI 1558749754 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 · PA5349
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.

16 WYMAN RD, Westminster, MA 01473

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

Sharon Plan Macneil Pa 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 ID6608181235
PECOS Enrollment IDI20150812006233
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.

Hospital Affiliations CMS Care Compare 2

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

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

Athol Memorial Hospital

Critical Access Hospitals · Athol, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221303
Location2033 Main StreetAthol, MA 01331 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01473 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

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
84%184 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
80%265 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
46%57 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,891 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
27%379 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%79 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
73%739 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%739 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
49%739 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
47%739 patients
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 12

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

Social Worker (Clinical)
16 WYMAN RD
WESTMINSTER, MA 01473
Family Medicine
16 WYMAN RD
WESTMINSTER, MA 01473
Counselor (Mental Health)
16 WYMAN RD
WESTMINSTER, MA 01473
Dentist (General Practice)
16 WYMAN RD
WESTMINSTER, MA 01473
Counselor (Mental Health)
16 WYMAN RD
WESTMINSTER, MA 01473
Nurse Practitioner (Psychiatric/Mental Health)
16 WYMAN RD
WESTMINSTER, MA 01473
Social Worker (Clinical)
16 WYMAN RD
WESTMINSTER, MA 01473
Counselor (Mental Health)
16 WYMAN RD
WESTMINSTER, MA 01473

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 Sharon Plan Macneil's NPI number?

The NPI number for Sharon Plan Macneil is 1558749754. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Where is Sharon Plan Macneil located?

Sharon Plan Macneil practices at 16 Wyman Rd, Westminster, MA 01473. The listed phone number is (978) 874-6409.

What is Sharon Plan Macneil's specialty?

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

Is Sharon Plan Macneil enrolled in Medicare?

Yes. Sharon Plan Macneil 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 Sharon Plan Macneil accept?

Health plans from Anthem Blue Cross and Blue Shield list Sharon Plan Macneil 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 Sharon Plan Macneil affiliated with any hospitals?

According to CMS data, Sharon Plan Macneil is affiliated with Heywood Hospital and Athol Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sharon Plan Macneil was last updated on May 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.