Active NPI 1053397349 Individual Practitioner Female Practitioner

Cara A Simpson , GNP

Nurse Practitioner • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Cara Simpson, GNP is a certified Nurse Practitioner practicing in Worcester, MA. With approximately 29 years of clinical experience since completing medical education in 1997, Cara Simpson delivers high-quality medical care to the local community at 385 GROVE ST.

Cara Simpson is affiliated with Reliant Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, 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, 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

385 Grove St

Worcester, MA 016053924

Telephone 5085952000

Fax 5088537149

Associated Practice Facility / Clinic

🏢 Demos Agiomavritis Md Pc Facility NPI 1093786725

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +18.1 yrs vs City Avg

City Avg: 10.9 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

506 Specialists

Practicing in Worcester, MA (3545 Statewide)

Telehealth Adoption Rate

17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simpson (29 Years) 29 Yrs

Worcester Specialty Average (10.9 Years) 10.9 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
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	151	65	$330.00	$107.72
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	43	32	$142.00	$46.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$292.86	$111.29
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	23	22	$458.00	$157.13
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	21	17	$219.00	$64.98
99497 Advance care planning, first 30 minutes	13	13	$224.00	$70.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	95	49	$458.00	$160.27
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	82	36	$330.00	$109.59
99497 Advance care planning, first 30 minutes	17	16	$224.00	$71.34
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	14	12	$142.00	$45.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	96	36	$233.00	$79.15
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	82	46	$458.00	$152.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	144	55	$233.00	$79.32
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	113	44	$233.00	$79.87
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	26	24	$345.00	$118.37
99316 Nursing facility discharge management, more than 30 minutes	25	24	$268.00	$91.90
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	12	12	$345.00	$118.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	216	91	$233.00	$81.17
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	30	11	$233.00	$81.11
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	13	12	$345.00	$119.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	229	85	$233.00	$80.24
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	14	$233.00	$80.78
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	14	14	$345.00	$119.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	89	44	$222.00	$81.06
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	39	13	$222.00	$81.06
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	20	19	$329.00	$120.49
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	14	12	$329.00	$120.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	75	33	$222.00	$79.77
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	15	11	$329.00	$118.51

Medical Specialties & State Licenses

CMS Verified: 2020-03-02

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 163662

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

700399 (MA)

Commercial Insurance / Payer ID Blue Shield Indemnity

NS0076

Commercial Insurance / Payer ID Railroad Medicare

500006185

Commercial Insurance / Payer ID Medicare B

NS0076

Commercial Insurance / Payer ID Medicaid Welfare

700399

Commercial Insurance / Payer ID Evercare

83 00313

Commercial Insurance / Payer ID Blue Care Elect

NS0076

Commercial Insurance / Payer ID Private Healthcare Syst.

04 2472266

Commercial Insurance / Payer ID Blue Shield Hmo Blue

NS0076

Commercial Insurance / Payer ID One Health Plan

04247226

Hospital & Practice Group Affiliations

Reliant Medical Group Inc

385 Grove St, Worcester, MA 016053907

Reliant Medical Group Inc

5 Neponset St, Worcesteer, MA 016062714

Phone: 5085952300

Reliant Medical Group Inc

100 Front St, Worcester, MA 016081425

Phone: 5084255694

Practice Associates & Co-Workers

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

32 Associated Practitioners

Lisa Iorio , NP

Nurse Practitioner - Family

NPI 1053771964

Nurse Practitioner

Ruth Remington , NP

Nurse Practitioner - Adult Health

NPI 1073595047

Nurse Practitioner

Jan Brozovsky , NP

Nurse Practitioner

NPI 1073690061

Nurse Practitioner

Lauri Toohey , ANP

Nurse Practitioner

NPI 1124276779

Adult Nurse Practitioner

Dr. Nancy Swayze , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1144298118

Doctor of Medicine (M.D.)

Dr. Elizabeth Hendriks , PhD

Psychologist

NPI 1184141749

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 02, 2020

Registered at 385 GROVE ST, WORCESTER, MA 016053924 (Tel: 5085952000)

📍

Updated Business Mailing Address March 02, 2020

Registered at 5 NEPONSET ST FL STREET2, WORCESTER, MA 016062714 (Tel: 5085952000)

✅

NPI Profile Active February 24, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 24, 2009

Registered at 630 PLANTATION ST, WORCESTER, MA 016052038 (Tel: 5085952000)

📍

Updated Business Mailing Address February 24, 2009

Registered at 630 PLANTATION ST, WORCESTER, MA 016052038 (Tel: 5085952000)

👤

Provider Name / Credentials Updated February 24, 2009

Recorded as CARA SIMPSON, GNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2009

Nurse Practitioner (License #163662 in MA)

🟢

Initial NPI Registration & Enumeration December 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053397349

Entity Type:

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

Enumeration Date: December 19, 2005

Last Update: March 02, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5 Neponset St Fl Street2

Worcester, MA 016062714

Phone: 5085952000

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.