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ANDREA M. DAMOUR M.D.
NPI 1740277730
Obstetrics & Gynecology in Gardner, MA

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
250 GREEN ST, GARDNER, MA 01440(978) 630-5050(978) 630-5059 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea M. Damour M.d. NPPES

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

ANDREA M. DAMOUR M.D. (NPI 1740277730) is an individual obstetrics & gynecology provider in Gardner, Massachusetts, licensed in Massachusetts (158234) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Georgetown University School Of Medicine (1990).

NPPES Registry Identity

NPI1740277730
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANDREA M. DAMOURCredential: M.D.
Location Address250 GREEN STGardner, MA 01440-1396
Mailing Address250 Green StGardner, MA 01440-1396 · (978) 630-5050 · Fax (978) 630-5059
Phone(978) 630-5050
Fax(978) 630-5059
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1990
Enumeration DateOctober 4, 2005
Last NPPES UpdateJune 17, 2011
✔ NPI 1740277730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 158234
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
250 GREEN ST, Gardner, MA 01440
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF88806
Medicaid3785613MA
Medicare PINA28899

Accepted Insurance

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

Andrea M. Damour 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 ID749473924
PECOS Enrollment IDI20101020000508
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

3

Medicare enrollment records show Andrea Damour reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Heywood Memorial Hospital
Same address
Hospitalist
242 GREEN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 344 clinicians in this Medicare group
NPI 1205448701 (978) 630-6944
Heywood Medical Group Inc.
Same address
General Practice
242 GREEN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 218 clinicians in this Medicare group
NPI 1699762286 (978) 630-5076
Athol Memorial Hospital Incorporated
11 mi
Critical Access
2033 MAIN STREET
Athol, MA 01331
  • Reassigned Medicare billing, Massachusetts enrollment
  • 324 clinicians in this Medicare group
NPI 1336120047 (978) 249-3511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services68 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Athol Memorial Hospital

Critical Access Hospitals · Athol, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221303
Location2033 Main StreetAthol, MA 01331 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01440 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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
68%368 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
93%1,065 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%858 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%254 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
36%1,773 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
35%1,143 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,160 patients
Patients tobacco: 11% · 90 patients
86%1,160 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,773 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
51%1,773 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
47%1,773 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MICHELE C. PARKER M.D.
Family Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 669-0199
BARBARA J. WALKER RNNP
Nurse Practitioner
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 632-6445
AYAZ TARIQ MALIK M.D.
Internal Medicine (Gastroenterology)
250 GREEN ST, STE 212
GARDNER, MA 01440
Worcester County (978) 669-5522
JOHN M. SKRZYPCZAK M.D.
Emergency Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 630-6280
MELISSA KRISTEN CAPOTOSTO NP
Nurse Practitioner (Women's Health)
250 GREEN ST, SUITE 200
GARDNER, MA 01440
Worcester County (978) 632-6880
ERIN KATE DOOLEY MD/MPH
Family Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 630-6330
MERCY FAMILY PRACTICE PC
Family Medicine
250 GREEN ST, SUITE 200
GARDNER, MA 01440
Worcester County (978) 632-6445
JOHN WORDEN M.D.
Family Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 630-6445

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 Andrea Damour's NPI number?

The NPI number for Andrea Damour is 1740277730. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Andrea Damour located?

Andrea Damour practices at 250 Green St, Gardner, MA 01440. The listed phone number is (978) 630-5050.

What is Andrea Damour's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Andrea Damour enrolled in Medicare?

Yes. Andrea Damour 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 Andrea Damour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Damour reassigns Medicare benefits to 3 organizations: Henry Heywood Memorial Hospital (Gardner, MA), Heywood Medical Group Inc. (Gardner, MA) and Athol Memorial Hospital Incorporated (Athol, MA). 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 Andrea Damour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Damour accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Andrea Damour 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.

Is Andrea Damour affiliated with any hospitals?

According to CMS data, Andrea Damour is affiliated with Heywood Hospital and Athol Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Damour was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.