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SUSAN M. MUGFORD NP
NPI 1659732022
Nurse Practitioner - Gerontology in Worcester, MA

Active since March 14, 2016PECOS EnrolledAccepts Medicare Assignment
630 PLANTATION ST, WORCESTER, MA 01605(508) 852-0600(508) 853-7149 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan M. Mugford Np NPPES

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

SUSAN M. MUGFORD NP (NPI 1659732022) is an individual gerontology provider in Worcester, Massachusetts, licensed in Massachusetts (RN178372) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1659732022
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSUSAN M. MUGFORDCredential: NP
Location Address630 PLANTATION STWorcester, MA 01605-2038
Mailing Address630 Plantation St, Wot 12th FlWorcester, MA 01605-2038 · (508) 368-5532
Phone(508) 852-0600
Fax(508) 853-7149
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 14, 2016
✔ NPI 1659732022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MA · RN178372
630 PLANTATION ST, Worcester, MA 01605
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Other Names 1

Former Name (1)Susan M. Leblanc

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

Susan M. Mugford Np 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 ID4688964745
PECOS Enrollment IDI20160601001386
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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
228 services68 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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.

RELIANT MEDICAL GROUP, INC
Nutritionist
630 PLANTATION ST
WORCESTER, MA 01605
Worcester County (508) 852-0600
LINDSEY M. GESUALDI RD
Dietitian, Registered
630 PLANTATION ST
WORCESTER, MA 01605
Worcester County (508) 852-6175
LAURA J BESSETTE MD
Internal Medicine
630 PLANTATION ST
WORCESTER, MA 01605
Worcester County (508) 595-2300
JANET STRASSMAN PERLMUTTER LICSW
Social Worker
630 PLANTATION ST
WORCESTER, MA 01605
Worcester County (508) 852-5529
RUTH REMINGTON NP
Nurse Practitioner (Adult Health)
630 PLANTATION ST
WORCESTER, MA 01605
Worcester County (508) 595-2000
JAN H BROZOVSKY NP
Nurse Practitioner
630 PLANTATION ST
WORCESTER, MA 01605
Worcester County (508) 595-2000
ALYSSA ANN SUNDSTROM CPNP
Nurse Practitioner (Pediatrics)
630 PLANTATION ST, WOT 12TH FL
WORCESTER, MA 01605
Worcester County (508) 852-8570
WILLIAM D SELIM MD
Pediatrics
630 PLANTATION ST
WORCESTER, MA 01605
Worcester County (508) 852-8570

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 Susan Mugford's NPI number?

The NPI number for Susan Mugford is 1659732022. It was assigned to this individual provider in the NPPES registry on March 14, 2016. The provider is also known as Susan M. Leblanc.

Where is Susan Mugford located?

Susan Mugford practices at 630 Plantation St, Worcester, MA 01605. The listed phone number is (508) 852-0600.

What is Susan Mugford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Susan Mugford enrolled in Medicare?

Yes. Susan Mugford 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.

When was this NPI record last updated?

The NPPES record for Susan Mugford was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.