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Active NPI 1104379783 Individual Practitioner Male Practitioner

Braeden W. Conlan , PA

Physician Assistant • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Braeden Conlan, PA is a registered healthcare professional specializing in Physician Assistant in Worcester, MA. Practice services are available at 55 LAKE AVE N under active NPI credentials.

Frequently performed procedures and clinical services include critical care, first, critical care, subsequent hospital care with moderate levelof medical decision making, if using time, at least. 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 7744437552
Fax 7744416086
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
426 Specialists

Practicing in Worcester, MA (4746 Statewide)

Telehealth Adoption Rate
15.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.7% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
98 61 $927.00 $188.70
99292 Critical care, each additional 30 minutes
81 47 $404.00 $94.82

Medical Specialties & State Licenses

CMS Verified: 2020-10-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA5962

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110120329A (MA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Daniel Zinkus , PA-C

Physician Assistant

NPI 1003275892

Physician Assistant (Certified)

NPI 1003653700

ACNPCAG

Jennifer Gustafson , CNP

Nurse Practitioner

NPI 1013479609

Certified Nurse Practitioner

NPI 1013630433

Nurse Practitioner

Susan Shaddock , CNP

Nurse Practitioner

NPI 1073036554

Certified Nurse Practitioner

Alexandra Bunzel , PA-C

Physician Assistant

NPI 1073131090

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated October 28, 2020

Recorded as BRAEDEN CONLAN, PA

NPI Profile Active November 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2016

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 7744437552)

📍
Updated Business Mailing Address November 04, 2016

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

👤
Provider Name / Credentials Updated November 04, 2016

Recorded as BRAEDEN CONLAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2016

Physician Assistant (License #PA5962 in MA)

🟢
Initial NPI Registration & Enumeration July 29, 2016

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: 1104379783
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2016
Last Update: October 28, 2020
Sole Proprietor: No

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.