KATHRYN A GUNNESS N.P.
NPI 1811959448
Nurse Practitioner - Women's Health in Milford, MA

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
91 WATER ST, MILFORD, MA 01757(508) 458-4200(508) 458-4251 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2020, Mar 26, 2020, Mar 9, 2020 and 1 more (4 updates tracked since 2016).

About Kathryn A Gunness N.p. NPPES

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

KATHRYN A GUNNESS N.P. (NPI 1811959448) is an individual women's health provider in Milford, Massachusetts, licensed in Massachusetts (RN209966) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Milford Regional Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1811959448
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKATHRYN A GUNNESSCredential: N.P.
Location Address91 WATER STMilford, MA 01757-3005
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Fax(508) 458-4251
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateApril 6, 2006
Last NPPES UpdateNovember 9, 20204 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
NPI 1811959448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in MA · RN209966
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN209966 (MA)
91 WATER ST, Milford, MA 01757

Other Identifiers 1

Medicaid110015891AMA

Accepted Insurance

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

Kathryn A Gunness N.p. 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 ID3274620323
PECOS Enrollment IDI20071106000470
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 4

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
43 services30 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.
31 services28 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
26 services26 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
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.

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

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 01757 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 11

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

Surgery
91 WATER ST
MILFORD, MA 01757
Surgery
91 WATER ST
MILFORD, MA 01757
Obstetrics & Gynecology
91 WATER ST
MILFORD, MA 01757
Orthopaedic Surgery
91 WATER ST
MILFORD, MA 01757
Nurse Practitioner
91 WATER ST
MILFORD, MA 01757
Nurse Practitioner
91 WATER ST
MILFORD, MA 01757
Surgery
91 WATER ST
MILFORD, MA 01757
Physician Assistant
91 WATER ST
MILFORD, MA 01757

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 Kathryn Gunness's NPI number?

The NPI number for Kathryn Gunness is 1811959448. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Kathryn Gunness located?

Kathryn Gunness practices at 91 Water St, Milford, MA 01757. The listed phone number is (508) 458-4200.

What is Kathryn Gunness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Kathryn Gunness enrolled in Medicare?

Yes. Kathryn Gunness 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.

What insurance does Kathryn Gunness accept?

Health plans from Anthem Blue Cross and Blue Shield list Kathryn Gunness 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 Kathryn Gunness affiliated with any hospitals?

According to CMS data, Kathryn Gunness is affiliated with Milford Regional Medical Center and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Kathryn Gunness was last updated on November 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.