Active NPI 1932165891 Individual Practitioner Male Practitioner

Dr. Gerald T. Mcgillicuddy , MD

Neurological Surgery • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Mcgillicuddy, MD is a registered healthcare professional specializing in Neurological Surgery in Worcester, MA. Practice services are available at 67 BELMONT ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

67 Belmont St

Worcester, MA 016052657

Telephone 5087524336

Fax 5087950407

Associated Practice Facility / Clinic

🏢 Vitreo-Retinal Associates Of Worcester Pc Facility NPI 1912930330

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Worcester, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.8 Yrs

State Avg: 32.4 Yrs

Regional Practice Density

16 Specialists

Practicing in Worcester, MA (250 Statewide)

Telehealth Adoption Rate

56.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

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	35	29	$378.66	$132.03
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$248.67	$93.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$359.00	$109.00

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	115	93	$359.00	$134.27
99213 Established patient office or other outpatient visit, typically 15 minutes	53	47	$244.00	$94.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$359.00	$117.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$547.00	$175.50
99443 Telephone medical discussion with physician, 21-30 minutes	16	16	$382.00	$135.25
63048 Partial removal of spine bone with release of spinal cord and/or nerves	12	12	$3987.50	$216.96
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$5118.00	$894.00
61783 Computer-assisted spinal procedure	11	11	$997.00	$238.01

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	77	68	$353.97	$130.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	39	$474.77	$191.51
63048 Partial removal of spine bone with release of spinal cord and/or nerves	37	19	$1828.38	$220.40
99443 Telephone medical discussion with physician, 21-30 minutes	36	36	$382.00	$137.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$539.27	$177.20
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	25	25	$5118.00	$770.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$357.64	$118.89
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$244.00	$96.87
22612 Fusion of spine in lower back	11	11	$6980.00	$1599.45
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$4070.00	$795.70
61783 Computer-assisted spinal procedure	11	11	$997.00	$241.13

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	98	82	$316.00	$112.34
99443 Telephone medical discussion with physician, 21-30 minutes	74	69	$339.54	$115.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$489.00	$169.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$349.00	$108.14
63048 Partial removal of spine bone with release of spinal cord and/or nerves	25	16	$1650.00	$228.37
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	23	$5118.00	$780.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$429.00	$156.16
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	14	14	$10842.86	$1335.44
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$3537.00	$824.72
20939 Harvest of bone marrow for spine surgery graft	11	11	$320.00	$75.55

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	132	101	$314.03	$112.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$487.85	$166.34
63048 Partial removal of spine bone with release of spinal cord and/or nerves	43	18	$1373.72	$173.50
99213 Established patient office or other outpatient visit, typically 15 minutes	42	39	$214.00	$77.39
63048 Partial removal of spine bone with release of spinal cord and/or nerves	25	12	$1650.00	$229.98
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	22	22	$4675.99	$718.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$347.60	$114.35
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	15	15	$9240.00	$1196.55
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$5118.00	$996.82
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$3537.00	$827.43

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	127	104	$296.00	$109.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$479.00	$169.91
63048 Partial removal of spine bone with release of spinal cord and/or nerves	43	21	$1650.00	$227.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	22	$210.00	$75.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$342.00	$113.05
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	20	$5118.00	$902.57
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$282.00	$105.24
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	13	13	$8762.54	$1761.50
20931 Donor bone graft for spine surgery	12	12	$584.00	$120.45
20939 Harvest of bone marrow for spine surgery graft	11	11	$320.00	$71.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$544.58	$166.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	92	$300.79	$110.16
99213 Established patient office or other outpatient visit, typically 15 minutes	60	56	$257.22	$75.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$395.76	$110.39
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	32	32	$5134.82	$768.80
63048 Partial removal of spine bone with release of spinal cord and/or nerves	31	21	$1353.22	$218.91
63048 Partial removal of spine bone with release of spinal cord and/or nerves	18	13	$1650.00	$218.91
22840 Placement of stabilizing device to back of 1 spine bone in neck	16	16	$3675.71	$787.92
38220 Aspiration of bone marrow sample for diagnosis	15	15	$909.17	$32.02
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$312.34	$103.36
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	14	14	$6313.61	$858.28
20931 Donor bone graft for spine surgery	13	13	$576.37	$115.99
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$5118.00	$1056.14
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	11	11	$8554.24	$1771.69

Medical Specialties & State Licenses

CMS Verified: 2020-10-26

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License MA 50103

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110050677A (MA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Arno Sungarian , MD

Neurological Surgery

NPI 1295791150

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location September 13, 2018

Registered at 67 BELMONT ST, WORCESTER, MA 016052657 (Tel: 5087524336)

✅

NPI Profile Active December 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 22, 2016

Registered at 10 WINTHROP ST, WORCESTER, MA 016044435 (Tel: 5087524336)

📍

Updated Business Mailing Address December 22, 2016

Registered at PO BOX 415348, BOSTON, MA 022415348

👤

Provider Name / Credentials Updated December 22, 2016

Recorded as GERALD MCGILLICUDDY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2016

Neurological Surgery (License #50103 in MA)

🟢

Initial NPI Registration & Enumeration April 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Gerald Mcgillicuddy. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1932165891

Entity Type:

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

Enumeration Date: April 20, 2006

Last Update: October 26, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

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.