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JOAN M MCDONAGH MD
NPI 1609843598
Pediatrics in Westborough, MA

Active since March 01, 2006PECOS Enrolled
900 UNION ST, WESTBOROUGH, MA 01581(508) 898-2338(508) 366-9938 Get Directions Write a Review

NPPES record last updated: March 9, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Joan M Mcdonagh Md NPPES

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

JOAN M MCDONAGH MD (NPI 1609843598) is an individual pediatrics provider in Westborough, Massachusetts, licensed in Massachusetts (156420) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609843598
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJOAN M MCDONAGHCredential: MD
Location Address900 UNION STWestborough, MA 01581-5408
Mailing Address630 Plantation StWorcester, MA 01605 · (508) 898-2338 · Fax (508) 366-9938
Phone(508) 898-2338
Fax(508) 366-9938
Sole ProprietorNo
Enumeration DateMarch 1, 2006
Last NPPES UpdateMarch 9, 2018
✔ NPI 1609843598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 156420
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
900 UNION ST, Westborough, MA 01581
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Other Identifiers 18

Other042472266One Health Plan
Other3181740Healthy Start
Other042472266Healthcare Value Manageme
Other2039844First Health
Other33750Fallon Community Health P
Other784160Mvp Health Care
OtherJ19162Blue Shield Idemnity
OtherJ19162Blue Care Elect
Other042472266Three Rivers
Medicaid110059991AMA
OtherAA1258Harvard Pilgrim Healthcar
Other042472266Private Healthcare System
Other042472266Tricare Champus
Other7689513Aetna Us Healthcare
OtherJ19162Blue Shield Hmo Blue
Other8681031Cigna Health Plan
Other37276Childrens Medical Securit
OtherA28407Medicare B

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joan M Mcdonagh Md 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 Reassignment

Medicare enrollment records show Joan Mcdonagh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pratt Pediatric Associates Inc
29 mi
Pediatrics
800 WASHINGTON ST, BOX 1013
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 202 clinicians in this Medicare group
NPI 1477590511 (617) 636-5000

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 01581 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 20

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

JUDITH A MCNICHOLAS MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
900 UNION ST
WESTBOROUGH, MA 01581
Worcester County (508) 871-0700
QUEST DIAGNOSTICS MASSACHUSETTS LLC
Clinical Medical Laboratory
900 UNION ST
WESTBOROUGH, MA 01581
Worcester County (866) 697-8378
KERRIE MCFEETERS N.P.
Nurse Practitioner (Pediatrics)
900 UNION ST
WESTBOROUGH, MA 01581
Worcester County (508) 898-2338
SWATI S SANE M.D.
Pediatrics
900 UNION ST
WESTBOROUGH, MA 01581
Worcester County (508) 898-2338
RELIANT MEDICAL GROUP
Optometrist
900 UNION ST
WESTBOROUGH, MA 01581
Worcester County (508) 856-9599
NINAD N SAMANT MD
Internal Medicine
900 UNION ST
WESTBOROUGH, MA 01581
Worcester County (508) 871-0700
SUSAN E KELLOGG PA
Physician Assistant
900 UNION ST
WESTBOROUGH, MA 01581
Worcester County (508) 871-0700
MARGARET R HINES MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
900 UNION ST
WESTBOROUGH, MA 01581
Worcester County (508) 870-9350

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 Joan Mcdonagh's NPI number?

The NPI number for Joan Mcdonagh is 1609843598. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Joan Mcdonagh located?

Joan Mcdonagh practices at 900 Union St, Westborough, MA 01581. The listed phone number is (508) 898-2338.

What is Joan Mcdonagh's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Joan Mcdonagh enrolled in Medicare?

Yes. Joan Mcdonagh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joan Mcdonagh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joan Mcdonagh reassigns Medicare benefits to Pratt Pediatric Associates Inc (Boston, MA). The 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 Joan Mcdonagh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joan Mcdonagh accept?

Health plans from Anthem Blue Cross and Blue Shield list Joan Mcdonagh 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.

When was this NPI record last updated?

The NPPES record for Joan Mcdonagh was last updated on March 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.