THERESA M. SMITH D.O.
NPI 1902197494
Pathology - Anatomic Pathology & Clinical Pathology in Worcester, MA
About Theresa M. Smith D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA M. SMITH D.O. (NPI 1902197494) is an individual anatomic pathology & clinical pathology provider in Worcester, Massachusetts, licensed in Massachusetts (26188) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Worcester.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theresa M. Smith D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Theresa Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Theresa Smith's NPI number?
The NPI number for Theresa Smith is 1902197494. It was assigned to this individual provider in the NPPES registry on May 2, 2011.
Where is Theresa Smith located?
Theresa Smith practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 793-6100.
What is Theresa Smith's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Theresa Smith enrolled in Medicare?
Yes. Theresa Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Theresa Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Smith reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Group Inc (Worcester, MA) and North Shore-Lij Medical PC (Great Neck, NY). 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 Theresa Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Theresa Smith was last updated on August 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.
# Theresa M. Smith, D.O. · NPI 1902197494
Anatomic Pathology & Clinical Pathology physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since May 2, 2011.
## Identity
- **NPI:** 1902197494 (Entity type: Individual)
- **Enumerated:** May 2, 2011
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 26188 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 793-6100 · **Fax:** (508) 793-6110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1902197494) · Data from the CMS NPPES public registry.