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DONNA L GERRY NP
NPI 1871552836
Nurse Practitioner - Adult Health in Marlborough, MA

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
126 UNION ST, MARLBOROUGH, MA 01752(508) 460-3872(508) 357-4150 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Donna L Gerry Np NPPES

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

DONNA L GERRY NP (NPI 1871552836) is an individual adult health provider in Marlborough, Massachusetts, licensed in Massachusetts (171238) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1871552836
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDONNA L GERRYCredential: NP
Location Address126 UNION STMarlborough, MA 01752-1207
Mailing Address126 Union StMarlborough, MA 01752-1207 · (508) 460-3872 · Fax (508) 357-4150
Phone(508) 460-3872
Fax(508) 357-4150
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 20, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1871552836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · 171238
Also ListedNurse PractitionerTaxonomy 363L00000X · License 171238 (MA)

Other Identifiers 3

OtherAA50800MA · Harvard Pilgrim
Medicaid0380831MA
OtherNP1738MA · Blue Cross

Accepted Insurance

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

Donna L Gerry Np 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 ID2961423413
PECOS Enrollment IDI20051212000578
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 Donna Gerry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atrius Health, Inc.
Internal Medicine
485 ARSENAL ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,317 clinicians in this Medicare group
NPI 1043366537 (617) 972-5100

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 7

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.
65 services59 patients
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.
45 services43 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
43 services37 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
22 services22 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01752 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

DR. JASON J CHEN DMD
Dentist (General Practice)
126 UNION ST, SUITE 3
MARLBOROUGH, MA 01752
Middlesex County (508) 481-4200
THOMAS OLLERHEAD, DMD, CAGS, P.C.
Dentist (Endodontics)
126 UNION ST, 6
MARLBOROUGH, MA 01752
Middlesex County (508) 787-0070
DR. ROBERTO SILVA CARVALHO DMD, PHD
Dentist (Orthodontics and Dentofacial Orthopedics)
126 UNION ST
MARLBOROUGH, MA 01752
Middlesex County (508) 485-8788
DR. ANGEL IDICULLA BDS, MDS, DMD
Dentist
126 UNION ST
MARLBOROUGH, MA 01752
Middlesex County (508) 251-6122
TONY HAOYU TONG
Dentist (General Practice)
126 UNION ST, SUITE 3
MARLBOROUGH, MA 01752
Middlesex County (508) 481-4200
MARLBOROUGH DENTAL PARTNERS PC
Dentist (General Practice)
126 UNION ST
MARLBOROUGH, MA 01752
Middlesex County (508) 251-6122
JACQUELINE JACOBSON DMD PC
Dentist (Endodontics)
126 UNION ST
MARLBOROUGH, MA 01752
Middlesex County (508) 787-0070
MIDDLESEX ORAL SURGERY GROUP
Oral & Maxillofacial Surgery
126 UNION ST
MARLBORO, MA 01752
Middlesex County (508) 485-3245

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 Donna Gerry's NPI number?

The NPI number for Donna Gerry is 1871552836. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Donna Gerry located?

Donna Gerry practices at 126 Union St, Marlborough, MA 01752. The listed phone number is (508) 460-3872.

What is Donna Gerry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Donna Gerry enrolled in Medicare?

Yes. Donna Gerry 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 Donna Gerry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Gerry reassigns Medicare benefits to Atrius Health, Inc. (Watertown, 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 Donna Gerry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Gerry accept?

Health plans from Anthem Blue Cross and Blue Shield list Donna Gerry 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 Donna Gerry was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.