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

SIMON N MCRAE MD
NPI 1992774723
Urology in Worcester, MA

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
123 SUMMER ST, SUITE 210, WORCESTER, MA 01608(508) 368-3183(508) 368-3193 Get Directions Write a Review

NPPES record last updated: February 18, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Simon N Mcrae Md NPPES

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

SIMON N MCRAE MD (NPI 1992774723) is an individual urology provider in Worcester, Massachusetts, licensed in Massachusetts (209442) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (1995).

NPPES Registry Identity

NPI1992774723
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSIMON N MCRAECredential: MD
Location Address123 SUMMER ST, SUITE 210Worcester, MA 01608
Mailing Address630 Plantation StWorcester, MA 01605 · (508) 368-3183 · Fax (508) 368-3193
Phone(508) 368-3183
Fax(508) 368-3193
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1995
Enumeration DateMarch 15, 2006
Last NPPES UpdateFebruary 18, 2009
✔ NPI 1992774723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MA · 209442
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
123 SUMMER ST, Worcester, MA 01608
Open in Google Maps ↗

Other Identifiers 20

OtherJ23861Blue Care Elect
Other0144401Medicaid Welfare
OtherAA13997Harvard Pilgrim Healthcar
Other784051Mvp Health Care
Medicare UPINH39216
Medicare ID-Type UnspecifiedA32493B
OtherJ23861Blue Shield Hmo Blue
Other62203Healthy Start
Other62203Childrens Medical Securit
Other042472266Three Rivers
Other51979Fallon Community Health P
Medicare ID-Type UnspecifiedA32493MA
Other042472266One Health Plan
Other209442Tufts Health Plan
Other1900334Evercare
Other4865766Cigna Health Plan
Other7501279Aetna Us Healthcare
Other042472266Private Healthcare System
OtherJ23861Blue Shield Indemnity
Medicaid0144401MA

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

Simon N Mcrae 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 ID4587637962
PECOS Enrollment IDI20040813001113
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 11

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.
162 services130 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.
154 services133 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
132 services95 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
126 services14 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
96 services22 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.
48 services48 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
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

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

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers11 claims44 services$7.98 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 20

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

MADAIAH LOKESHWARI M.D.
Hospitalist
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-6849
DR. JENNIFER LYNNE PAPPALARDO DPM
Podiatrist (Foot & Ankle Surgery)
123 SUMMER ST, DEPARTMENT OF PODIATRY
WORCESTER, MA 01608
Worcester County (508) 363-7390
DR. MADHAV SHARMA MD
Internal Medicine
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5438
YESHASWINI KATKOORI MD
Student in an Organized Health Care Education/Training Program
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5000
DANIELLE MAY PELOQUIN
Nurse Anesthetist, Certified Registered
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5000
DR. YAYAN CHEN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-6049
FARRICY & KRAFT LLP
Obstetrics & Gynecology (Obstetrics)
123 SUMMER ST, SUITE 560
WORCESTER, MA 01608
Worcester County (508) 363-6100
KEITH A BEALS PA
Physician Assistant
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5000

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 Simon Mcrae's NPI number?

The NPI number for Simon Mcrae is 1992774723. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Simon Mcrae located?

Simon Mcrae practices at 123 Summer St Suite 210, Worcester, MA 01608. The listed phone number is (508) 368-3183.

What is Simon Mcrae's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Simon Mcrae enrolled in Medicare?

Yes. Simon Mcrae 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 Simon Mcrae accept?

Health plans from Anthem Blue Cross and Blue Shield list Simon Mcrae 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 Simon Mcrae affiliated with any hospitals?

According to CMS data, Simon Mcrae is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Simon Mcrae was last updated on February 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.