Active NPI 1811403876 Individual Practitioner Female Practitioner

Sandra Medakovich , NP

Nurse Practitioner • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Sandra Medakovich, NP is a registered healthcare professional specializing in Nurse Practitioner in Worcester, MA. Practice services are available at 366 SHREWSBURY ST under active NPI credentials.

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

366 Shrewsbury St

Worcester, MA 016044647

Telephone 5083687890

Fax 5087968111

Associated Practice Facility / Clinic

🏢 Quest Diagnostics Massachusetts Llc Facility NPI 1508306747

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Worcester, MA

Active Practitioner

Practitioner Clinical Experience

Active

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

83.3% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	19	19	$18.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	97	75	$18.00	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	62	$313.00	$94.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$288.00	$103.59
G0444 Annual depression screening, 5 to 15 minutes	55	55	$47.00	$16.36
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$211.00	$65.16
G0008 Administration of influenza virus vaccine	21	21	$63.00	$19.01
G0102 Prostate cancer screening; digital rectal examination	16	16	$57.00	$20.60
G0009 Administration of pneumococcal vaccine	15	15	$63.00	$19.00
99442 Telephone medical discussion with physician, 11-20 minutes	13	11	$149.00	$66.95
69209 Removal of impacted ear wax by washing	13	13	$53.65	$15.52
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$222.83	$119.92
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	12	12	$60.00	$29.23

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	118	87	$313.00	$94.36
36415 Insertion of needle into vein for collection of blood sample	82	63	$18.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	72	61	$211.00	$65.60
G0444 Annual depression screening, 5 to 15 minutes	50	50	$47.00	$16.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$288.00	$102.93
G0008 Administration of influenza virus vaccine	17	17	$63.00	$17.64
G0009 Administration of pneumococcal vaccine	14	14	$63.00	$17.77
90662 Influenza vaccine split virus, preservative free	13	13	$123.00	$54.29
69209 Removal of impacted ear wax by washing	13	13	$51.92	$14.89
G0102 Prostate cancer screening; digital rectal examination	12	12	$57.00	$20.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	49	$201.00	$64.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	41	$298.00	$94.23
36415 Insertion of needle into vein for collection of blood sample	36	26	$18.00	$2.94
G0444 Annual depression screening, 5 to 15 minutes	19	19	$47.00	$16.06
G0008 Administration of influenza virus vaccine	19	19	$63.00	$23.21
90662 Influenza vaccine split virus, preservative free	14	14	$123.00	$52.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$288.00	$103.77

Medical Specialties & State Licenses

CMS Verified: 2022-07-20

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN2303850

(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 HI APRN-3475

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 209.023232

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License WA AP61055169

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License NY 345737

Definition to come...

Practice Associates & Co-Workers

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

19 Associated Practitioners

Alyssa Widen , RN MSN

Registered Nurse

NPI 1033581244

RNMSN

Dr. Masooma Rehmtulla , MD

Internal Medicine

NPI 1194012203

Doctor of Medicine (M.D.)

Allison Friberg , PA-C

Physician Assistant

NPI 1235524323

Physician Assistant (Certified)

Dr. Jenny Temps , MD

Emergency Medicine

NPI 1255525358

Doctor of Medicine (M.D.)

Dr. Aimee Beck , DNP, FNP

Nurse Practitioner - Family

NPI 1265802342

Doctor of Nursing Practice, Family Nurse Practitioner

Thomas Beltz , PA-C

Physician Assistant - Medical

NPI 1285718205

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location July 20, 2022

Registered at 366 SHREWSBURY ST, WORCESTER, MA 016044647 (Tel: 5083687890)

📍

Updated Business Mailing Address July 20, 2022

Registered at 366 SHREWSBURY ST, WORCESTER, MA 016044647 (Tel: 5083687890)

📍

Updated Practice Location March 28, 2022

Registered at 6 LIBERTY SQ #96253, BOSTON, MA 021095800 (Tel: 4089135329)

📍

Updated Business Mailing Address March 28, 2022

Registered at 6 LIBERTY SQ #96253, BOSTON, MA 021095800 (Tel: 4089135329)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2022

Nurse Practitioner (License #APRN-3475 in HI)

📍

Updated Practice Location June 18, 2021

Registered at 5317 TIMBERVIEW WAY, MARLBOROUGH, MA 017522576 (Tel: 4089135329)

📍

Updated Business Mailing Address May 24, 2021

Registered at 6 LIBERTY SQ # 96253, BOSTON, MA 021095800 (Tel: 4089135329)

✅

NPI Profile Active December 28, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 28, 2017

Registered at 106 E MAIN ST, WESTBOROUGH, MA 015811417 (Tel: 5088710700)

📍

Updated Business Mailing Address December 28, 2017

Registered at 630 PLANTATION ST FL STREET12, WORCESTER, MA 016052038 (Tel: 5088710700)

👤

Provider Name / Credentials Updated December 28, 2017

Recorded as SANDRA MEDAKOVICH, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2017

Nurse Practitioner (License #RN2303850 in MA)

🟢

Initial NPI Registration & Enumeration December 28, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811403876

Entity Type:

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

Enumeration Date: December 28, 2017

Last Update: July 20, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

366 Shrewsbury St

Worcester, MA 016044647

Phone: 5083687890

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.