LISA S GUSSAK M.D.
NPI 1780667543
Family Medicine in Worcester, MA

Q: What is Lisa Gussak's NPI number?

The NPI number for Lisa Gussak is 1780667543. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Q: What is Lisa Gussak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Gussak was last updated on October 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 25, 2005PECOS EnrolledAccepts Medicare Assignment

97.02/100

CMS Quality Rating

26 QUEEN ST, FAMILY PRACTICE 1, WORCESTER, MA 01610(508) 860-7700(508) 860-7929 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lisa S Gussak M.d. NPPES

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

LISA S GUSSAK M.D. (NPI 1780667543) is an individual family medicine provider in Worcester, Massachusetts, licensed in Massachusetts (155167) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1780667543

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLISA S GUSSAKCredential: M.D.

Location Address26 QUEEN ST, FAMILY PRACTICE 1Worcester, MA 01610-2473

Mailing Address26 Queen St, Family Practice 1Worcester, MA 01610-2473 · (508) 860-7700 · Fax (508) 860-7929

Phone(508) 860-7700

Fax(508) 860-7929

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1994

Enumeration DateNovember 25, 2005

Last NPPES UpdateOctober 24, 2018

✔ NPI 1780667543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MA · 155167

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

26 QUEEN ST, Worcester, MA 01610

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Secondary Practice Location 1

Location 1367 Plantation StWorcester, MA 01605-2323 · Phone (774) 442-4195 · Fax (508) 334-1448

Other Identifiers 1

Medicaid0109061MA

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

Lisa S Gussak 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 ID1456436559

PECOS Enrollment IDI20080313000551

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.

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.

26 services25 patients

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.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220001

Location60 Hospital RoadLeominster, MA 01453 · Worcester County

Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220163

Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01610 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.

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

Quality

78.09

Promoting Interoperability

100

Improvement Activities

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.

HA TOOHEY

Specialist