1. Home
  2. Directory
  3. Massachusetts
  4. Worcester
  5. Internal Medicine
  6. NPI Profile

JAMES DENNIS O'SHEA M.D.
NPI 1962564153
Internal Medicine - Medical Oncology in Worcester, MA

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
1 EATON PL, STE 23, WORCESTER, MA 01608(508) 363-6515(508) 363-7515 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2017, Feb 3, 2017 (2 updates tracked since 2017).

About James Dennis O'shea M.d. NPPES

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

JAMES DENNIS O'SHEA M.D. (NPI 1962564153) is an individual medical oncology provider in Worcester, Massachusetts, licensed in Massachusetts (238109) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1989).

NPPES Registry Identity

NPI1962564153
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameJAMES DENNIS O'SHEACredential: M.D.
Location Address1 EATON PL, STE 23Worcester, MA 01608-1232
Mailing Address1 Eaton Pl, Ste 23Worcester, MA 01608-1232 · (508) 363-6515
Phone(508) 363-6515
Fax(508) 363-7515
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1989
Enumeration DateDecember 14, 2006
Last NPPES UpdateFebruary 22, 20172 updates tracked since enumeration
✔ NPI 1962564153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses✔ Licensed in MA · 238109✔ Licensed in NH · 9685
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
1 EATON PL, Worcester, MA 01608
Open in Google Maps ↗

Other Identifiers 5

OtherM21583MA · Medicare Group Svps
Medicare PINS400115770MA
Medicaid110080674AMA
OtherM20928MA · Medicare Group
Medicaid30009405NH

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Dennis O'shea 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 ID3779559042
PECOS Enrollment IDI20081103000584
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 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.
100 services55 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.
95 services40 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.
34 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

Other Providers at the Same Location NPPES 7

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

QUEST DIAGNOSTICS MASSACHUSETTS LLC
Clinical Medical Laboratory
1 EATON PL
WORCESTER, MA 01608
Worcester County (508) 556-5400
IMAGING CONSULTANTS INC
Clinic/Center (Radiology)
1 EATON PL
WORCESTER, MA 01608
Worcester County (508) 410-8558
JAMES J ROONEY M.D.
Internal Medicine (Hematology & Oncology)
1 EATON PL, SUITE 300
WORCESTER, MA 01608
Worcester County (508) 556-5400
BRIAN MICHAEL PERL PHARMD, BCACP
Pharmacist (Cardiology)
1 EATON PL
WORCESTER, MA 01608
Worcester County (508) 248-4126
ZOE PALEOLOGOS PA-C
Physician Assistant (Medical)
1 EATON PL
WORCESTER, MA 01608
Worcester County (508) 363-7170
TARA JEAN WISE LCSW
Social Worker (Clinical)
1 EATON PL
WORCESTER, MA 01608
Worcester County (508) 856-0732
MS. TRACEY M HALL NP
Nurse Practitioner
1 EATON PL, ST. VINCENT HOSPTIAL BREAST CARE PROGRAM ONE
WORCESTER, MA 01608
Worcester County (508) 363-6881

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 James O'shea's NPI number?

The NPI number for James O'shea is 1962564153. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is James O'shea located?

James O'shea practices at 1 Eaton Pl Ste 23, Worcester, MA 01608. The listed phone number is (508) 363-6515.

What is James O'shea's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is James O'shea enrolled in Medicare?

Yes. James O'shea 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 James O'shea accept?

Health plans from Anthem Blue Cross and Blue Shield list James O'shea 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 James O'shea affiliated with any hospitals?

According to CMS data, James O'shea is affiliated with Mount Auburn Hospital, Cambridge Health Alliance, Melrosewakefield Healthcare and Beth Israel Deaconess Medical Center.

When was this NPI record last updated?

The NPPES record for James O'shea was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.