Active NPI 1104029826 Individual Practitioner Male Practitioner

Dr. Gary Paul Blanchard , MD

Internal Medicine • Worcester, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Gary Blanchard, MD is a certified Internal Medicine practicing in Worcester, MA. With approximately 22 years of clinical experience since graduating from Tufts University School Of Medicine in 2004, Dr. Blanchard delivers high-quality medical care to the local community at 123 SUMMER ST.

Dr. Blanchard maintains professional affiliations with Shane Speirs Md Ii Pllc, Saint Vincent Physician Services Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

123 Summer St
St. Vincent Hospital

Worcester, MA 016081216

Telephone 5083635000

Associated Practice Facility / Clinic

🏢 Laboratory Corporation Of America Holdings Facility NPI 1093793200

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +2.6 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

460 Specialists

Practicing in Worcester, MA (7127 Statewide)

Telehealth Adoption Rate

15.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blanchard (22 Years) 22 Yrs

Worcester Specialty Average (19.4 Years) 19.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	416	146	$41.00	$16.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	356	148	$298.00	$129.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	38	$401.00	$181.48
99213 Established patient office or other outpatient visit, typically 15 minutes	44	32	$202.00	$92.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$324.00	$131.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	325	145	$298.00	$130.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	77	49	$401.00	$177.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$324.00	$131.85
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$202.00	$91.15
99443 Telephone medical discussion with physician, 21-30 minutes	15	11	$298.00	$130.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$573.00	$208.95
99496 Transitional care management services for problem of high complexity	11	11	$664.00	$283.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	270	124	$280.76	$133.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	95	56	$381.46	$187.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$311.00	$135.41
G0008 Administration of influenza virus vaccine	34	34	$48.00	$33.68
90662 Influenza vaccine split virus, preservative free	33	33	$146.00	$68.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$541.72	$228.52
99443 Telephone medical discussion with physician, 21-30 minutes	22	19	$276.18	$133.15
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$192.22	$94.58
99496 Transitional care management services for problem of high complexity	15	14	$628.67	$289.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	120	$274.00	$135.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	87	58	$369.00	$189.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$298.00	$138.45
G0008 Administration of influenza virus vaccine	42	41	$44.00	$19.51
90662 Influenza vaccine split virus, preservative free	41	40	$134.00	$65.05
99213 Established patient office or other outpatient visit, typically 15 minutes	25	19	$186.00	$95.76
99443 Telephone medical discussion with physician, 21-30 minutes	22	17	$274.00	$136.08
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	22	17	$88.00	$34.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$527.00	$231.41
99496 Transitional care management services for problem of high complexity	13	11	$611.00	$292.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	120	$274.00	$114.43
99443 Telephone medical discussion with physician, 21-30 minutes	63	49	$180.76	$104.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	39	$369.00	$153.51
G0008 Administration of influenza virus vaccine	42	42	$44.00	$19.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$298.00	$121.51
90662 Influenza vaccine split virus, preservative free	39	39	$134.00	$60.98
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$186.00	$78.91
99442 Telephone medical discussion with physician, 11-20 minutes	20	18	$65.00	$64.95
99495 Transitional care management services for problem of at least moderate complexity	13	12	$433.00	$194.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$527.00	$217.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	369	132	$274.00	$113.23
36415 Insertion of needle into vein for collection of blood sample	80	55	$8.00	$2.87
G0008 Administration of influenza virus vaccine	60	59	$44.00	$17.44
99213 Established patient office or other outpatient visit, typically 15 minutes	58	42	$186.00	$76.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	37	$369.00	$151.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$298.00	$121.10
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	27	$137.00	$55.63
90662 Influenza vaccine split virus, preservative free	35	34	$134.00	$54.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$527.00	$215.59
99496 Transitional care management services for problem of high complexity	16	16	$611.00	$241.58
G0009 Administration of pneumococcal vaccine	13	13	$44.00	$17.70
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	13	13	$61.00	$27.57
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$49.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	357	134	$315.00	$112.64
G0008 Administration of influenza virus vaccine	49	49	$53.00	$23.21
99213 Established patient office or other outpatient visit, typically 15 minutes	48	33	$203.00	$76.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	36	$466.00	$151.50
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	45	31	$191.00	$56.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$356.00	$122.09
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	33	33	$25.00	$18.65
99496 Transitional care management services for problem of high complexity	21	19	$624.00	$243.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$642.00	$216.59
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	16	16	$32.00	$23.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	349	121	$315.00	$110.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	38	$466.00	$149.02
G0008 Administration of influenza virus vaccine	58	55	$53.00	$28.66
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	52	51	$32.00	$23.53
99213 Established patient office or other outpatient visit, typically 15 minutes	47	34	$203.00	$74.51
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	36	24	$191.00	$55.73
99495 Transitional care management services for problem of at least moderate complexity	24	21	$593.00	$169.08
99496 Transitional care management services for problem of high complexity	22	16	$624.00	$229.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$642.00	$212.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$356.00	$119.76
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$76.00	$17.70

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 231891

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Shane Speirs Md Ii Pllc

102 Shore Dr, Worcester, MA 016053154

Phone: 4807252614

Saint Vincent Physician Services Inc

123 Summer St, Worcester, MA 016081216

Saint Vincent Physician Services Inc

1 Eaton Pl, Worcester, MA 016081232

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Yeshaswini Katkoori , MD

Student in an Organized Health Care Education/Training Program

NPI 1003619149

Doctor of Medicine (M.D.)

Danielle Peloquin

Nurse Anesthetist, Certified Registered

NPI 1003687195

Keith Beals , PA

Physician Assistant

NPI 1003989039

Physician Assistant

Dr. Tarun Jayathilagar , MD

Student in an Organized Health Care Education/Training Program

NPI 1013852706

Doctor of Medicine (M.D.)

Dr. Khushi Goyal , MD

Student in an Organized Health Care Education/Training Program

NPI 1013853258

Doctor of Medicine (M.D.)

Anne Covino , CNM

Midwife

NPI 1013977602

Certified Nurse Midwife

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 123 SUMMER ST, ST. VINCENT HOSPITAL, WORCESTER, MA 016081216 (Tel: 5083635000)

📍

Updated Business Mailing Address July 08, 2007

Registered at 9-5 TUCK FARM RD, AUBURN, MA 015012455 (Tel: 5084078068)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as GARY BLANCHARD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #231891 in MA)

🟢

Initial NPI Registration & Enumeration June 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104029826

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 08, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9-5 Tuck Farm Rd

Auburn, MA 015012455

Phone: 5084078068

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.