SERGE D BOTSARIS M.D.
NPI 1679528095
Psychiatry & Neurology - Psychiatry in Worcester, MA
NPI Status: Active since May 24, 2006
Contact Information
100 CENTURY DR
WORCESTER, MA
ZIP 01606
Phone: (844) 319-0000
Fax: (774) 701-0950
- Individual
- Male
- Years of Experience 34
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About SERGE BOTSARIS
This page provides the complete NPI Profile along with additional information for Serge Botsaris, a provider established in Worcester, Massachusetts with a medical specialization in Psychiatry & Neurology, focusing in psychiatry and more than 34 years of experience. He graduated from Tufts University School Of Medicine in 1992. The healthcare provider is registered in the NPI registry with number 1679528095 assigned on May 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 78476 (MA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1679528095
- Provider Name
- SERGE D BOTSARIS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 100 CENTURY DR WORCESTER, MA 01606
- Location Phone
- (844) 319-0000
- Location Fax
- (774) 701-0950
- Mailing Address
- PO BOX 415348 BOSTON, MA 02241
- Medical School Name
- TUFTS UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1992
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-24-2006
- Last Update Date
- 12-29-2020
- Code Navigator
A psychiatrist like Serge Botsaris are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 78476
- License State
- MA
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Serge Botsaris is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Serge Botsaris is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2466425939
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040813000996
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 15 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Hospital discharge day management, 30 minutes or less
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 217 times for 64 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 194 times for 35 patientsHospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
This service was performed 20 times for 19 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $44.34 for a new patient copayment and $18.3 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01606 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $177.36
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $44.34
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73.22
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $18.3
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Serge Botsaris is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL | 157 UNION STREET MARLBOROUGH, MA 01752 | (508) 481-5000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 7 | 9 | 5 | 2 | 8 | 0 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 10 | 2 | 16 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 0 + 2 + 1 + 6 + 0 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1679528095 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
CAROLINE J ALPER M.D.
Internal Medicine
100 CENTURY DR
WORCESTER, MA
ZIP 01606
MS. CHERYL LYNN CATOGGIO R.PH
Pharmacist
100 CENTURY DR
WORCESTER, MA
ZIP 01606
MRS. JOANNE HANNA R.PH
Pharmacist
100 CENTURY DR
SUITE A
WORCESTER, MA
ZIP 01606
KAREN WENTWORTH PSYD
Psychologist
(Clinical)
100 CENTURY DR
WORCESTER, MA
ZIP 01606
DR. KELLY SUZANNE WOLF CRAIG PHD
Psychologist
(Clinical)
100 CENTURY DR
WORCESTER, MA
ZIP 01606
REBECCA S. LUNDQUIST M.D.
Psychiatry & Neurology
(Psychiatry)
100 CENTURY DR
WORCESTER, MA
ZIP 01606
DR. JOSHUA HAUGH DO
Psychiatry & Neurology
(Psychiatry)
100 CENTURY DR
WORCESTER, MA
ZIP 01606
INES BASTEN MD
Student in an Organized Health Care Education/Training Program
100 CENTURY DR
WORCESTER, MA
ZIP 01606
ALEXANDRA ELIZABETH PUMILIA D.O.
Student in an Organized Health Care Education/Training Program
100 CENTURY DR
WORCESTER, MA
ZIP 01606
MASSACHUSETTS REHABILITATION COMMISSION
Community/Behavioral Health
100 CENTURY DR
WORCESTER, MA
ZIP 01606
CARIDAD PONCE MARTINEZ MD
Psychiatry & Neurology
(Psychiatry)
100 CENTURY DR
WORCESTER, MA
ZIP 01606
ALAN P. BROWN M.D.
Psychiatry & Neurology
(Psychiatry)
100 CENTURY DR
WORCESTER, MA
ZIP 01606
JEFFREY L. GELLER M.D.
Psychiatry & Neurology
(Psychiatry)
100 CENTURY DR
WORCESTER, MA
ZIP 01606
LYNN S. DOWD PSYD
Psychologist
(Clinical)
100 CENTURY DR
WORCESTER, MA
ZIP 01606
DEBORAH A. CARTER LICSW
Social Worker
(Clinical)
100 CENTURY DR
WORCESTER, MA
ZIP 01606
MARY R INNIS RN PC
Clinical Nurse Specialist
(Psychiatric/Mental Health, Adult)
100 CENTURY DR
WORCESTER, MA
ZIP 01606
NATHAN KEEDY LICSW
Social Worker
(Clinical)
100 CENTURY DR
WORCESTER, MA
ZIP 01606
DR. ROBERT JOSEPH CAREY JR. PH.D.
Psychologist
(Clinical)
100 CENTURY DR
WORCESTER, MA
ZIP 01606
GERARDO GONZALEZ-HADDAD M.D.
Psychiatry & Neurology
(Psychiatry)
100 CENTURY DR
WORCESTER, MA
ZIP 01606
SUREYYA ISCAN PH.D
Psychologist
(Clinical)
100 CENTURY DR
WORCESTER, MA
ZIP 01606
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679528095, enumerated as an "individual" on May 24, 2006.
The provider is located at 100 CENTURY DR WORCESTER, MA 01606 and the phone number is (844) 319-0000.
Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to verify.
Serge Botsaris is affiliated with: UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL.
