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KAREN A HEVERON M.D.
NPI 1619939386
Pediatrics in Worcester, MA

Active since April 06, 2006PECOS Enrolled
5 NEPONSET ST, WORCESTER, MA 01606(508) 595-2300(508) 853-5226 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen A Heveron M.d. NPPES

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

KAREN A HEVERON M.D. (NPI 1619939386) is an individual pediatrics provider in Worcester, Massachusetts, licensed in Massachusetts (152406) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619939386
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKAREN A HEVERONCredential: M.D.
Location Address5 NEPONSET STWorcester, MA 01606-2714
Mailing Address5 Neponset St Fl Street12Worcester, MA 01606-2714 · (508) 595-2300 · Fax (508) 853-5226
Phone(508) 595-2300
Fax(508) 853-5226
Sole ProprietorNo
Enumeration DateApril 6, 2006
Last NPPES UpdateSeptember 14, 2018
✔ NPI 1619939386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 152406
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.
5 NEPONSET ST, Worcester, MA 01606
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Other Identifiers 1

Medicaid3200442MA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen A Heveron M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01606 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.

DR. PRANATHI NARAYANAREDDY
Internal Medicine (Rheumatology)
5 NEPONSET ST
WORCESTER, MA 01606
Worcester County (508) 595-2855
ROBERT A YOOD MD
Internal Medicine (Rheumatology)
5 NEPONSET ST
WORCESTER, MA 01606
Worcester County (508) 595-2855
MATTHEW S HORSFIELD MD
Family Medicine
5 NEPONSET ST
WORCESTER, MA 01606
Worcester County (508) 425-5566
DANIELLE HARN NP
Nurse Practitioner (Family)
5 NEPONSET ST
WORCESTER, MA 01606
Worcester County (508) 425-5566
TERESA L STONE OD
Optometrist
5 NEPONSET ST
WORCESTER, MA 01606
Worcester County (508) 856-9599
MEAGHAN SAWTELLE
Physician Assistant
5 NEPONSET ST
WORCESTER, MA 01606
Worcester County (508) 368-7800
CHRISTINE CASTLE MSRD
Nutritionist
5 NEPONSET ST
WORCESTER, MA 01606
Worcester County (508) 852-6175
BRITTANY ALBERTA JASO PHD
Psychologist
5 NEPONSET ST
WORCESTER, MA 01606
Worcester County (508) 856-0732

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 Karen Heveron's NPI number?

The NPI number for Karen Heveron is 1619939386. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Karen Heveron located?

Karen Heveron practices at 5 Neponset St, Worcester, MA 01606. The listed phone number is (508) 595-2300.

What is Karen Heveron's specialty?

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

Is Karen Heveron enrolled in Medicare?

Yes. Karen Heveron is registered in the Medicare PECOS enrollment system.

What insurance does Karen Heveron accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Heveron 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 Karen Heveron was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.