DR. KATHLEEN M CLEARY M.D.
NPI 1780668962
Pediatrics in Sterling, MA

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
225 LEOMINSTER RD, STERLING, MA 01564(978) 422-6900(978) 422-7561 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2022, Nov 9, 2020 (2 updates tracked since 2020).

About Dr. Kathleen M Cleary M.d. NPPES

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

DR. KATHLEEN M CLEARY M.D. (NPI 1780668962) is an individual pediatrics provider in Sterling, Massachusetts, licensed in Massachusetts (74880) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (1984).

NPPES Registry Identity

NPI1780668962
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KATHLEEN M CLEARYCredential: M.D.
Location Address225 LEOMINSTER RDSterling, MA 01564-2148
Mailing AddressPo Box 415348Boston, MA 02241-0001 · (800) 225-8885 · Fax (508) 334-1977
Fax(978) 422-7561
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1984
Enumeration DateDecember 1, 2005
Last NPPES UpdateJune 10, 20222 updates tracked since enumeration
NPPES CertifiedJune 10, 2022
✔ NPI 1780668962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 74880
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
225 LEOMINSTER RD, Sterling, MA 01564

Other Identifiers 1

Medicaid110050306AMA

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

Dr. Kathleen M Cleary 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 ID6406895754
PECOS Enrollment IDI20050427000337
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 Reassignment

Medicare enrollment records show Kathleen Cleary reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 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 01564 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
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
225 LEOMINSTER RD
STERLING, MA 01564
Dentist (Orthodontics and Dentofacial Orthopedics)
225 LEOMINSTER RD
STERLING, MA 01564
Pediatrics
225 LEOMINSTER RD
STERLING, MA 01564
Dentist (Orthodontics and Dentofacial Orthopedics)
225 LEOMINSTER RD
STERLING, MA 01564
Pediatrics
225 LEOMINSTER RD
STERLING, MA 01564
Pediatrics
225 LEOMINSTER RD
STERLING, MA 01564
Pediatrics
225 LEOMINSTER RD
STERLING, MA 01564
Pediatrics
225 LEOMINSTER RD
STERLING, MA 01564

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 Kathleen Cleary's NPI number?

The NPI number for Kathleen Cleary is 1780668962. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Kathleen Cleary located?

Kathleen Cleary practices at 225 Leominster Rd, Sterling, MA 01564. The listed phone number is (978) 422-6900.

What is Kathleen Cleary's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kathleen Cleary enrolled in Medicare?

Yes. Kathleen Cleary 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 organization bills Medicare for Kathleen Cleary's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Cleary reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). The 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 Kathleen Cleary's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Cleary accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Kathleen Cleary 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 Kathleen Cleary was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.