ERICA KIMBERLY NICASIO M.D.
NPI 1679992994
Obstetrics & Gynecology - Maternal & Fetal Medicine in Worcester, MA

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
119 BELMONT ST, WORCESTER, MA 01605(508) 334-1000 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Erica Kimberly Nicasio M.d. NPPES

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

ERICA KIMBERLY NICASIO M.D. (NPI 1679992994) is an individual maternal & fetal medicine provider in Worcester, Massachusetts, licensed in Connecticut (80445) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of Tufts University School Of Medicine (2014).

NPPES Registry Identity

NPI1679992994
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameERICA KIMBERLY NICASIOCredential: M.D.
Location Address119 BELMONT STWorcester, MA 01605-2903
Mailing Address119 Belmont StWorcester, MA 01605-2903 · (508) 334-1000
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1679992994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in CT · 80445
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 260438 (MA)
119 BELMONT ST, Worcester, MA 01605

Secondary Practice Location 1

Location 185 Jefferson St Ste 625Hartford, CT 06106-2602 · Phone (860) 972-2884

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erica Kimberly Nicasio M.d. 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 ID6204052434
PECOS Enrollment IDI20250627002554
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 Reassignments

6

Medicare enrollment records show Erica Nicasio reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
326 WASHINGTON ST
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 430 clinicians in this Medicare group
General Acute Care Hospital
80 SEYMOUR ST
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,333 clinicians in this Medicare group
Hospitalist
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 clinicians in this Medicare group
General Acute Care Hospital
435 LEWIS AVE
Meriden, CT 06451
  • Reassigned Medicare billing, Connecticut enrollment
  • 505 clinicians in this Medicare group
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
Obstetrics & Gynecology
990 SOUTH AVE, SUITE 103
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 107 clinicians in this Medicare group

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 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

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.

Family Medicine
119 BELMONT ST
WORCESTER, MA 01605
Internal Medicine (Rheumatology)
119 BELMONT ST
WORCESTER, MA 01605
Nurse Practitioner (Neonatal, Critical Care)
119 BELMONT ST
WORCESTER, MA 01605
Obstetrics & Gynecology (Maternal & Fetal Medicine)
119 BELMONT ST
WORCESTER, MA 01605
Nurse Practitioner
119 BELMONT ST
WORCESTER, MA 01605
Social Worker
119 BELMONT ST
WORCESTER, MA 01605
Orthopaedic Surgery
119 BELMONT ST
WORCESTER, MA 01605
Physician Assistant
119 BELMONT ST
WORCESTER, MA 01605

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 Erica Nicasio's NPI number?

The NPI number for Erica Nicasio is 1679992994. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Erica Nicasio located?

Erica Nicasio practices at 119 Belmont St, Worcester, MA 01605. The listed phone number is (508) 334-1000.

What is Erica Nicasio's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Erica Nicasio enrolled in Medicare?

Yes. Erica Nicasio 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.

Which organizations bill Medicare for Erica Nicasio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Nicasio reassigns Medicare benefits to 6 organizations: The William W Backus Hospital (Norwich, CT), Hartford Hospital (Hartford, CT), The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT), Midstate Medical Center (Meriden, CT), Albany Medical College (Albany, NY) and 1 more organization, listed in the Medicare section above. Each 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 Erica Nicasio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erica Nicasio accept?

Health plans from Anthem Blue Cross and Blue Shield list Erica Nicasio 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 Erica Nicasio was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.