Active NPI 1063501765 Individual Practitioner Female Practitioner

Debra Jean Gaves , NP

Nurse Practitioner • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Debra Gaves, NP is a certified Nurse Practitioner practicing in Worcester, MA. With approximately 25 years of clinical experience since graduating from Oakland Univ, William Beaumont School Of Medicine in 2001, Debra Gaves delivers high-quality medical care to the local community at 26 QUEEN ST.

Debra Gaves is affiliated with Family Health Center Of Worcester, Inc. and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, 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

26 Queen St

Worcester, MA 016102478

Telephone 5088607800

Fax 5087967014

Associated Practice Facility / Clinic

🏢 Family Health Center Of Worcester, Inc. Facility NPI 1841200664

Medicare Profile & Education

Medical School

Oakland Univ, William Beaumont School Of Medicine

Graduation Year

2001

Medicare Assignment

Not Specified

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

25 Yrs +14.1 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

67.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gaves (25 Years) 25 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
36415 Insertion of needle into vein for collection of blood sample	150	127	$20.00	$8.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	77	$344.00	$110.08
99213 Established patient office or other outpatient visit, typically 15 minutes	50	48	$236.00	$78.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$360.00	$112.58
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	20	20	$147.00	$46.65
83036 Hemoglobin A1C level	15	15	$30.00	$9.52
81003 Automated urinalysis test	15	14	$10.00	$2.20

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	427	333	$192.00	$104.79
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	157	133	$280.00	$151.73
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	70	53	$94.00	$50.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$194.00	$104.31
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	28	21	$156.00	$84.41
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	28	28	$114.39	$62.75
G0179 Physician re-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 to affirm the initial imp	25	20	$62.00	$33.08
99344 New patient home visit, typically 1 hour	19	19	$216.00	$118.26
G0009 Administration of pneumococcal vaccine	12	12	$36.00	$29.39
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	12	12	$78.00	$42.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$140.00	$103.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	111	105	$140.00	$88.75
99291 Critical care, first 30-74 minutes	11	11	$450.00	$192.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	116	109	$140.00	$90.30
99226 Subsequent observation care, typically 35 minutes per day	24	23	$200.00	$90.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	11	$85.00	$33.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$90.00	$62.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$135.00	$87.92

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	100	90	$254.13	$77.56
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	62	57	$197.65	$59.09
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	42	36	$267.00	$77.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	40	$140.00	$93.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	39	$90.00	$65.14
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	28	22	$203.00	$60.30
99318 Nursing facility annual assessment, typically 30 minutes	22	22	$280.00	$84.80
99226 Subsequent observation care, typically 35 minutes per day	11	11	$200.00	$94.15

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	889	316	$260.76	$76.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	809	254	$197.56	$57.88
99316 Nursing facility discharge management, more than 30 minutes	152	139	$302.68	$88.93
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	59	27	$257.75	$77.91
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	56	21	$196.57	$59.32
99318 Nursing facility annual assessment, typically 30 minutes	28	28	$273.04	$82.08
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	19	15	$127.53	$36.83
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	13	11	$385.77	$113.93

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	1,095	322	$247.55	$75.82
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	709	245	$188.72	$57.33
99316 Nursing facility discharge management, more than 30 minutes	153	135	$286.59	$88.05
99318 Nursing facility annual assessment, typically 30 minutes	11	11	$259.91	$79.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,200	404	$141.63	$56.83
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	862	355	$196.45	$75.19
99316 Nursing facility discharge management, more than 30 minutes	242	232	$215.54	$87.20
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	146	106	$90.40	$36.73
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	65	52	$276.57	$112.03

Medical Specialties & State Licenses

CMS Verified: 2026-05-04

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN10003464

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MI 4704170436

Hospital & Practice Group Affiliations

Family Health Center Of Worcester, Inc.

26 Queen St, Worcester, MA 016102473

Phone: 5088607800

Practice Associates & Co-Workers

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

39 Associated Practitioners

Natalia Kottler , NP

Nurse Practitioner - Family

NPI 1003437666

Nurse Practitioner

Dr. Robert Zavoski , MD

Pediatrics

NPI 1023113941

Doctor of Medicine (M.D.)

Stella Adu-Gyamfi , PMHNP-BC

Nurse Practitioner

NPI 1033445051

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Seiwaah Kyei , NP

Nurse Practitioner - Family

NPI 1033716725

Nurse Practitioner

Hoang-Ngan Tran , NP

Nurse Practitioner - Family

NPI 1033863436

Nurse Practitioner

Julia Taylor , FNP-C

Nurse Practitioner - Family

NPI 1114509577

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Business Mailing Address May 04, 2026

Registered at 26 QUEEN ST, WORCESTER, MA 016102478 (Tel: 5088607800)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2026

Nurse Practitioner (License #RN10003464 in MA)

📍

Updated Practice Location November 21, 2025

Registered at 26 QUEEN ST, WORCESTER, MA 016102478 (Tel: 5088607800)

📍

Updated Business Mailing Address November 21, 2025

Registered at 26 QUEEN ST STE 13, WORCESTER, MA 016102478 (Tel: 5088607800)

📍

Updated Practice Location March 28, 2024

Registered at 545 BEDFORD ST, BRIDGEWATER, MA 023243117 (Tel: 5086973677)

📍

Updated Business Mailing Address March 28, 2024

Registered at 545 BEDFORD ST, BRIDGEWATER, MA 023243117 (Tel: 5086973677)

📍

Updated Practice Location February 01, 2023

Registered at 4444 W BRISTOL RD STE 150, FLINT, MI 485073161 (Tel: 8102309500)

📍

Updated Business Mailing Address February 01, 2023

Registered at 4444 W BRISTOL RD STE 150, FLINT, MI 485073161 (Tel: 8102309500)

✅

NPI Profile Active June 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2016

Registered at 3399 E GRAND RIVER AVE STE 204, SUITE E, HOWELL, MI 488437555 (Tel: 5175400709)

📍

Updated Business Mailing Address June 30, 2016

Registered at 3399 E GRAND RIVER AVE STE 204, STE 204, HOWELL, MI 488437555 (Tel: 5175400709)

👤

Provider Name / Credentials Updated June 30, 2016

Recorded as DEBRA GAVES, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2016

Nurse Practitioner (License #4704170436 in MI)

🟢

Initial NPI Registration & Enumeration October 12, 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 Debra Gaves. 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: 1063501765

Entity Type:

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

Enumeration Date: October 12, 2006

Last Update: May 04, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

26 Queen St

Worcester, MA 016102478

Phone: 5088607800

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.