Active NPI 1336139526 Individual Practitioner Male Practitioner

Dr. Thomas W. Smith , MD

Pathology - Anatomic Pathology • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Smith, MD is a certified Pathology - Anatomic Pathology practicing in Worcester, MA. With approximately 54 years of clinical experience since graduating from Js Weill Medical College, Cornell University in 1972, Dr. Smith delivers high-quality medical care to the local community at 55 LAKE AVE N.

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

Frequently performed procedures and clinical services include special stained specimen slides to examine tissue, pathology examination of tissue using a microscope, moderately high complexity, special stained specimen slides to examine tissue, initial procedure. 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 5087936100

Fax 5087936110

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Js Weill Medical College, Cornell University

Graduation Year

1972

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Anatomic Pathology in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

54 Yrs +22.6 yrs vs City Avg

City Avg: 31.4 Yrs

State Avg: 35.7 Yrs

Regional Practice Density

41 Specialists

Practicing in Worcester, MA (303 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (54 Years) 54 Yrs

Worcester Specialty Average (31.4 Years) 31.4 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
88341 Special stained specimen slides to examine tissue	233	32	$101.00	$27.16
88307 Pathology examination of tissue using a microscope, moderately high complexity	65	43	$548.00	$79.65
88342 Special stained specimen slides to examine tissue, initial procedure	35	33	$205.00	$33.90
88331 Pathology examination of specimen during surgery, first tissue block	33	30	$297.00	$60.11
88305 Pathology examination of tissue using a microscope, intermediate complexity	25	17	$268.00	$36.25
88360 Microscopic genetic analysis of tumor	21	21	$270.00	$40.26
88311 Preparation of tissue for examination by removing any calcium present	20	14	$62.00	$11.66
88304 Pathology examination of tissue using a microscope, moderately low complexity	20	13	$173.00	$11.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	111	18	$101.00	$28.52
88307 Pathology examination of tissue using a microscope, moderately high complexity	45	28	$548.00	$83.10
88342 Special stained specimen slides to examine tissue, initial procedure	28	25	$205.00	$35.15
88304 Pathology examination of tissue using a microscope, moderately low complexity	19	15	$173.00	$11.43
88331 Pathology examination of specimen during surgery, first tissue block	18	16	$297.00	$62.69
88305 Pathology examination of tissue using a microscope, intermediate complexity	18	14	$268.00	$37.59
88360 Microscopic genetic analysis of tumor	16	15	$270.00	$42.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	176	29	$101.00	$29.10
88307 Pathology examination of tissue using a microscope, moderately high complexity	62	35	$548.00	$85.62
88342 Special stained specimen slides to examine tissue, initial procedure	39	33	$205.00	$35.94
88360 Microscopic genetic analysis of tumor	30	27	$270.00	$43.20
88331 Pathology examination of specimen during surgery, first tissue block	30	25	$297.00	$64.41
88305 Pathology examination of tissue using a microscope, intermediate complexity	27	22	$268.00	$38.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	138	24	$101.00	$29.94
88307 Pathology examination of tissue using a microscope, moderately high complexity	68	37	$548.00	$87.23
88342 Special stained specimen slides to examine tissue, initial procedure	40	32	$205.00	$36.88
88305 Pathology examination of tissue using a microscope, intermediate complexity	38	27	$268.00	$39.44
88331 Pathology examination of specimen during surgery, first tissue block	31	26	$297.00	$65.41
88360 Microscopic genetic analysis of tumor	30	24	$270.00	$44.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	125	30	$101.00	$30.86
88307 Pathology examination of tissue using a microscope, moderately high complexity	68	34	$548.00	$90.39
88305 Pathology examination of tissue using a microscope, intermediate complexity	46	30	$268.00	$40.93
88331 Pathology examination of specimen during surgery, first tissue block	40	25	$297.00	$68.02
88342 Special stained specimen slides to examine tissue, initial procedure	38	33	$205.00	$38.34
88360 Microscopic genetic analysis of tumor	25	23	$270.00	$45.86
88300 Pathology examination of tissue using a microscope, limited examination	13	13	$33.00	$4.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	130	25	$101.00	$30.81
88313 Special stained specimen slides to examine tissue including interpretation and report	70	18	$62.00	$12.98
88319 Evaluation of specimen enzymes	63	13	$145.00	$28.56
88307 Pathology examination of tissue using a microscope, moderately high complexity	55	32	$547.13	$89.51
88342 Special stained specimen slides to examine tissue, initial procedure	36	33	$205.00	$38.23
88305 Pathology examination of tissue using a microscope, intermediate complexity	32	28	$267.44	$40.81
88331 Pathology examination of specimen during surgery, first tissue block	21	19	$297.00	$67.62
88360 Microscopic genetic analysis of tumor	18	17	$270.00	$45.62
88304 Pathology examination of tissue using a microscope, moderately low complexity	14	12	$173.00	$12.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	125	25	$101.00	$30.44
88307 Pathology examination of tissue using a microscope, moderately high complexity	73	31	$532.00	$89.57
88342 Special stained specimen slides to examine tissue, initial procedure	39	32	$205.00	$38.14
88331 Pathology examination of specimen during surgery, first tissue block	24	18	$297.00	$67.94
88360 Microscopic genetic analysis of tumor	22	21	$270.00	$47.71
88305 Pathology examination of tissue using a microscope, intermediate complexity	18	11	$259.00	$40.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	164	32	$101.00	$30.25
88307 Pathology examination of tissue using a microscope, moderately high complexity	67	40	$528.97	$88.27
88331 Pathology examination of specimen during surgery, first tissue block	40	21	$297.00	$67.07
88342 Special stained specimen slides to examine tissue, initial procedure	37	35	$205.00	$37.84
88305 Pathology examination of tissue using a microscope, intermediate complexity	28	22	$258.54	$40.39
88360 Microscopic genetic analysis of tumor	24	24	$270.00	$58.26

Medical Specialties & State Licenses

CMS Verified: 2020-11-02

Pathology - Anatomic Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0101X

State License MA 36174

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2044129 (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000