Active NPI 1790769826 Individual Practitioner Male Practitioner

Dr. Thomas P Goss , MD

Orthopaedic Surgery • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Goss, MD is a certified Orthopaedic Surgery practicing in Worcester, MA. With approximately 55 years of clinical experience since graduating from Harvard Medical School in 1971, Dr. Goss delivers high-quality medical care to the local community at 55 LAKE AVE N.

Dr. Goss is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. 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 Orthopedic Surgery

Worcester, MA 016550002

Telephone 5088562487

Fax 5088565916

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Harvard Medical School

Graduation Year

1971

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

55 Yrs +30.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

46 Specialists

Practicing in Worcester, MA (746 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Goss (55 Years) 55 Yrs

Worcester Specialty Average (24.3 Years) 24.3 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	161	161	$359.00	$80.85
99213 Established patient office or other outpatient visit, typically 15 minutes	117	89	$300.00	$64.93
20610 Aspiration and/or injection of fluid from large joint	41	37	$267.37	$44.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	182	182	$359.00	$84.22
99213 Established patient office or other outpatient visit, typically 15 minutes	163	121	$281.79	$67.27
20610 Aspiration and/or injection of fluid from large joint	51	49	$330.00	$45.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	143	143	$359.00	$86.50
99213 Established patient office or other outpatient visit, typically 15 minutes	121	80	$244.00	$69.55
20610 Aspiration and/or injection of fluid from large joint	31	30	$330.00	$47.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	165	124	$241.09	$70.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$358.65	$87.43
20610 Aspiration and/or injection of fluid from large joint	27	24	$330.00	$47.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	143	106	$214.00	$54.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$349.00	$79.82
20610 Aspiration and/or injection of fluid from large joint	27	22	$330.00	$49.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	199	199	$348.37	$77.92
99213 Established patient office or other outpatient visit, typically 15 minutes	199	143	$212.27	$53.46
20610 Aspiration and/or injection of fluid from large joint	26	24	$330.00	$44.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	92	$199.00	$53.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$479.00	$133.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	60	$296.00	$81.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$342.00	$78.95
20610 Aspiration and/or injection of fluid from large joint	39	36	$330.00	$48.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	114	82	$199.00	$52.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$337.98	$77.77
20610 Aspiration and/or injection of fluid from large joint	30	28	$330.00	$47.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$479.00	$131.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$296.00	$77.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$479.00	$132.40

Medical Specialties & State Licenses

CMS Verified: 2020-10-28

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 34852

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110038306A (MA)

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

1 Associated Practitioners

Dr. Jeffrey Chhim , DNP MPH FNP-C RN

Nurse Practitioner - Family

NPI 1588289300

DNPMPHFNPCRN

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 07, 2016

Registered at 55 LAKE AVE N, DEPARTMENT OF ORTHOPEDIC SURGERY, WORCESTER, MA 016550002 (Tel: 5088562487)

📍

Updated Business Mailing Address March 07, 2016

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤

Provider Name / Credentials Updated March 07, 2016

Recorded as THOMAS GOSS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2016

Orthopaedic Surgery (License #34852 in MA)

🟢

Initial NPI Registration & Enumeration December 01, 2005

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 Dr. Thomas Goss. 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: 1790769826

Entity Type:

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

Enumeration Date: December 01, 2005

Last Update: October 28, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022410001

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.