Active NPI 1376716365 Individual Practitioner Female Practitioner

Joan B. Dowd , NP

Nurse Practitioner • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Joan Dowd, NP is a certified Nurse Practitioner practicing in Worcester, MA. With approximately 31 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 1995, Joan Dowd delivers high-quality medical care to the local community at 55 LAKE AVE N.

Joan Dowd is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, advance care planning, first. 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
Department Of Surgery

Worcester, MA 016550002

Telephone 5088565599

Fax 5088568329

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

1995

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

31 Yrs +20.1 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

75.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dowd (31 Years) 31 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	126	111	$667.00	$145.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	60	41	$342.00	$99.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	95	92	$667.00	$150.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	42	32	$342.00	$103.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$238.00	$68.56

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	102	64	$342.00	$89.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	88	84	$667.00	$173.80
99497 Advance care planning, first 30 minutes	11	11	$396.00	$68.75
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$331.00	$87.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	70	$660.47	$176.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	64	35	$334.56	$91.21

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	103	56	$308.00	$93.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	61	$597.00	$182.28
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$299.00	$91.83
99497 Advance care planning, first 30 minutes	23	20	$396.00	$71.16

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	76	45	$307.36	$92.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	48	$597.00	$179.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$399.25	$121.74
99497 Advance care planning, first 30 minutes	17	16	$396.00	$70.35
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$288.18	$83.90

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	45	33	$301.00	$91.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	32	$210.00	$64.22
99221 Initial hospital inpatient care per day, typically 30 minutes	43	43	$282.00	$89.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	14	$117.00	$34.61

Medical Specialties & State Licenses

CMS Verified: 2020-11-03

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 186333

(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

0723576 (MA)

Medicaid State Provider ID

110078997A (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Umass Memorial Medical Group Inc

60 Hospital Rd, Leominster, MA 014532205

Phone: 9784662257

Practice Associates & Co-Workers

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

22 Associated Practitioners

Chantelle Jones

Nurse Practitioner

NPI 1043812605

Dr. Andres Schanzer , MD

Surgery - Vascular Surgery

NPI 1073594933

Doctor of Medicine (M.D.)

Dr. Bruce Cutler , MD

Surgery - Vascular Surgery

NPI 1245214352

Doctor of Medicine (M.D.)

Dr. Caitlin Sorensen , MD

Surgery - Vascular Surgery

NPI 1356704746

Doctor of Medicine (M.D.)

Dr. Tammy Nguyen , MD

Surgery - Vascular Surgery

NPI 1356736839

Doctor of Medicine (M.D.)

Kathleen Korenda , NP

Nurse Practitioner

NPI 1407036247

Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active April 24, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 24, 2017

Registered at 55 LAKE AVE N, DEPARTMENT OF SURGERY, WORCESTER, MA 016550002 (Tel: 5088565599)

📍

Updated Business Mailing Address April 24, 2017

Registered at PO BOX 415348, BOSTON, MA 022415348

👤

Provider Name / Credentials Updated April 24, 2017

Recorded as JOAN DOWD, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2017

Nurse Practitioner (License #186333 in MA)

✅

NPI Profile Active September 04, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 04, 2014

Registered at 55 LAKE AVE N, DEPARTMENT OF SURGERY, WORCESTER, MA 016550002 (Tel: 5088565599)

📍

Updated Business Mailing Address September 04, 2014

Registered at PO BOX 415348, BOSTON, MA 022415348

👤

Provider Name / Credentials Updated September 04, 2014

Recorded as JOAN DOWD, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2014

Nurse Practitioner (License #186333 in MA)

🟢

Initial NPI Registration & Enumeration April 10, 2008

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: 1376716365

Entity Type:

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

Enumeration Date: April 10, 2008

Last Update: November 03, 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.