Active NPI 1114070497 Individual Practitioner Female Practitioner

Linda M Paul , NP

Nurse Practitioner • Worcester, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Linda Paul, NP is a certified Nurse Practitioner practicing in Worcester, MA. With approximately 24 years of clinical experience since completing medical education in 2002, Linda Paul delivers high-quality medical care to the local community at 55 LAKE AVE N.

Linda Paul is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, 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;. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083342527

Fax 5088566778

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +13.1 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

✓ Offers Virtual Consultations

Medicare Pricing Discount

80.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Paul (24 Years) 24 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	111	79	$624.89	$121.59
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	59	12	$210.00	$36.23
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	49	14	$138.00	$26.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	31	$445.00	$79.84
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	29	16	$241.00	$41.31
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	27	18	$232.00	$15.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	15	$622.26	$154.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	11	$445.00	$110.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	100	64	$516.40	$119.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	55	$411.12	$83.30
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	63	15	$210.00	$36.48
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	29	16	$241.00	$40.78
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$274.80	$56.79
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	19	12	$232.00	$15.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	110	64	$482.00	$127.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	54	$359.00	$85.69
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	46	12	$138.00	$27.82
99213 Established patient office or other outpatient visit, typically 15 minutes	41	31	$244.00	$58.38
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	39	12	$210.00	$38.52
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	25	12	$241.00	$43.92
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	17	11	$232.00	$16.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	146	65	$477.28	$129.16
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	73	13	$210.00	$39.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	45	$354.30	$87.73
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	50	14	$69.00	$28.31
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	39	18	$241.00	$44.35
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$242.57	$59.36
99443 Telephone medical discussion with physician, 21-30 minutes	18	12	$382.00	$87.98
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	15	12	$229.20	$16.69
99442 Telephone medical discussion with physician, 11-20 minutes	14	11	$263.00	$59.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	101	60	$429.00	$99.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	40	$316.00	$70.36
99443 Telephone medical discussion with physician, 21-30 minutes	37	29	$326.27	$70.29
99354 Prolonged office or other outpatient service first hour	34	24	$384.00	$108.27
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	27	12	$241.00	$45.40
99442 Telephone medical discussion with physician, 11-20 minutes	24	20	$238.50	$45.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	203	112	$427.98	$97.78
99354 Prolonged office or other outpatient service first hour	66	45	$381.09	$107.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$312.47	$69.48
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	24	11	$241.00	$45.01
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	17	11	$210.24	$16.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	33	$420.00	$97.87
69210 Removal of impacted ear wax	22	22	$105.00	$30.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$239.00	$70.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$282.39	$70.05
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$161.00	$47.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	85	75	$161.00	$45.67
69210 Removal of impacted ear wax	84	75	$105.00	$29.46
99213 Established patient office or other outpatient visit, typically 15 minutes	57	50	$235.00	$67.65
69210 Removal of impacted ear wax	51	46	$161.00	$45.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$239.00	$66.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$348.00	$99.64
92504 Exam of ear using a microscope	16	13	$30.00	$8.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$247.00	$68.51

Medical Specialties & State Licenses

CMS Verified: 2020-10-30

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN250420

(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.

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

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

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Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location May 08, 2018

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083342527)

📍

Updated Business Mailing Address May 08, 2018

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2018

Nurse Practitioner (License #RN250420 in MA)

✅

NPI Profile Active January 02, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 02, 2014

Registered at 9 SUMMER ST, SUITE 302, FRANKLIN, MA 020381491 (Tel: 5085078818)

📍

Updated Business Mailing Address January 02, 2014

Registered at 9 SUMMER ST, SUITE 302, FRANKLIN, MA 020381491 (Tel: 5085078818)

👤

Provider Name / Credentials Updated January 02, 2014

Recorded as LINDA PAUL, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2014

Nurse Practitioner (License #250420 in MA)

🟢

Initial NPI Registration & Enumeration January 19, 2007

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: 1114070497

Entity Type:

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

Enumeration Date: January 19, 2007

Last Update: October 30, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.