CAROL A BARRETTE MD
NPI 1902877384
Orthopaedic Surgery in Worcester, MA

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
123 SUMMER ST STE 320, WORCESTER, MA 01608(508) 964-5580(508) 368-3143 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carol A Barrette Md NPPES

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

CAROL A BARRETTE MD (NPI 1902877384) is an individual orthopaedic surgery provider in Worcester, Massachusetts, licensed in Massachusetts (78275) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Rush Medical College Of Rush University (1987).

NPPES Registry Identity

NPI1902877384
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameCAROL A BARRETTECredential: MD
Location Address123 SUMMER ST STE 320Worcester, MA 01608-1216
Mailing Address123 Summer St Ste 320Worcester, MA 01608-1216 · (508) 964-5580 · Fax (508) 368-3143
Fax(508) 368-3143
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1987
Enumeration DateFebruary 1, 2006
Last NPPES UpdateApril 2, 2021
NPPES CertifiedMarch 11, 2021
NPI 1902877384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in MA · 78275 Licensed in CT · 034018
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

123 SUMMER ST STE 320, Worcester, MA 01608

Other Identifiers 1

Medicaid110053513AMA

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

Carol A Barrette Md 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 ID9032153390
PECOS Enrollment IDI20050616001140
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 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.
199 services128 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
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.
27 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01608 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
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$9.29 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier14 claims14 services$4.69 avg. paid by Medicare
Ankle foot orthosis, plastic with ankle joint, custom fabricated L1970
DME-Orthotic Devices · category DF003N
2 suppliers13 claims13 services$730.13 avg. paid by Medicare
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined L2275
DME-Orthotic Devices · category DF000N
2 suppliers14 claims14 services$102.29 avg. paid by Medicare
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section L2820
DME-Orthotic Devices · category DF000N
2 suppliers18 claims18 services$88.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Orthopaedic Surgery
123 SUMMER ST STE 320
WORCESTER, MA 01608

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 Carol Barrette's NPI number?

The NPI number for Carol Barrette is 1902877384. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Carol Barrette located?

Carol Barrette practices at 123 Summer St Ste 320, Worcester, MA 01608. The listed phone number is (508) 964-5580.

What is Carol Barrette's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Carol Barrette enrolled in Medicare?

Yes. Carol Barrette 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 Carol Barrette accept?

Health plans from Anthem Blue Cross and Blue Shield list Carol Barrette 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 Carol Barrette affiliated with any hospitals?

According to CMS data, Carol Barrette is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Carol Barrette was last updated on April 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.