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Active NPI 1104463637 Individual Practitioner Male Practitioner

Ian E. Dziewietin , PA-C

Physician Assistant • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Ian Dziewietin, PA-C 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 emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, established patient outpatient office visit. 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 5084211400
Fax 5084211490
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
79.9% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
42 41 $488.71 $104.22
99285 Emergency department visit for life threatening or functioning severity
39 39 $709.33 $147.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
18 18 $445.00 $81.53
99213 Established patient office or other outpatient visit, typically 15 minutes
18 18 $300.00 $55.41
99283 Emergency department visit with low level of medical decision making
13 13 $297.92 $61.07

Medical Specialties & State Licenses

CMS Verified: 2021-04-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA7940

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Hillary Irons , MD

Emergency Medicine

NPI 1003041971

Doctor of Medicine (M.D.)

Samantha Williams , FNP-BC

Nurse Practitioner - Family

NPI 1003571209

Family Nurse Practitioner (Board Certified)

Duncan Daviau , PA-C

Physician Assistant

NPI 1013432582

Physician Assistant (Certified)

Caterina Singas , PA-C

Physician Assistant

NPI 1013557917

Physician Assistant (Certified)

Dr. Romolo Gaspari , MD

Emergency Medicine

NPI 1023091261

Doctor of Medicine (M.D.)

Jessie Christensen , CNP

Nurse Practitioner

NPI 1043652274

Certified Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location April 01, 2021

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5084211400)

📍
Updated Business Mailing Address April 01, 2021

Registered at PO BOX 415348, BOSTON, MA 022415348

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2021

Physician Assistant (License #PA7940 in MA)

👤
Provider Name / Credentials Updated January 13, 2021

Recorded as IAN DZIEWIETIN, PA-C

NPI Profile Active December 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2019

Registered at 67 KENWOOD AVE, WORCESTER, MA 016051340 (Tel: 5085793373)

📍
Updated Business Mailing Address December 03, 2019

Registered at 67 KENWOOD AVE, WORCESTER, MA 016051340 (Tel: 5085793373)

👤
Provider Name / Credentials Updated December 03, 2019

Recorded as IAN DZIEWIETIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 03, 2019

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: 1104463637
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2019
Last Update: April 01, 2021
Sole Proprietor: No

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.