Active NPI 1114991130 Individual Practitioner Male Practitioner

Jeffery J. Giarnese , PA

Physician Assistant • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jeffery Giarnese, PA is a certified Physician Assistant practicing in Worcester, MA. With approximately 14 years of clinical experience since completing medical education in 2012, Jeffery Giarnese delivers high-quality medical care to the local community at 55 LAKE AVE N.

Jeffery Giarnese is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with straightforward medical decision making, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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
Department Of Surgery/neurosurgery

Worcester, MA 016550002

Telephone 5088566354

Fax 5088565074

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Worcester, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +3.6 yrs vs City Avg

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

75.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Giarnese (14 Years) 14 Yrs

Worcester Specialty Average (10.4 Years) 10.4 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
99282 Emergency department visit with straightforward medical decision making	54	53	$195.00	$34.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	34	$238.00	$66.07
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$300.00	$76.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	47	$238.00	$67.15
99282 Emergency department visit with straightforward medical decision making	52	52	$188.38	$35.58
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$253.50	$73.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	68	$238.00	$61.67
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$236.76	$79.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	55	$234.61	$63.42
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$217.00	$82.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	17	$215.00	$65.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	12	$135.25	$35.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	78	$189.00	$66.68
71046 X-ray of chest, 2 views	48	25	$33.87	$15.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$278.00	$97.31
99284 Emergency department visit with moderate level of medical decision making	20	20	$380.50	$104.39
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	12	11	$2.00	$0.13
94640 Inhalation treatment for airway obstruction or sputum production	12	11	$49.00	$15.24
81003 Automated urinalysis test	12	12	$20.00	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	242	224	$189.00	$64.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	160	160	$278.00	$96.40
71046 X-ray of chest, 2 views	148	76	$33.18	$15.28
81003 Automated urinalysis test	44	44	$20.00	$2.65
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	26	26	$20.00	$16.20
73630 X-ray of foot, minimum of 3 views	22	11	$38.00	$14.97
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	21	19	$2.00	$0.13
94640 Inhalation treatment for airway obstruction or sputum production	21	19	$49.00	$17.06
87804 Detection test by immunoassay with direct visual observation for influenza virus	20	20	$21.20	$16.22
36415 Insertion of needle into vein for collection of blood sample	19	19	$15.00	$2.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$278.00	$95.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$423.00	$146.34
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$44.00	$15.18

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	201	201	$278.00	$93.94
99213 Established patient office or other outpatient visit, typically 15 minutes	130	124	$189.00	$63.94
71020 X-ray of chest, 2 views, front and side	113	57	$36.19	$13.60
81003 Automated urinalysis test	44	44	$20.00	$3.02
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	26	26	$20.00	$15.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$278.00	$94.36
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	18	16	$2.00	$0.15
94640 Inhalation treatment for airway obstruction or sputum production	18	16	$49.00	$16.64
99284 Emergency department visit with moderate level of medical decision making	16	16	$404.75	$101.56
87804 Detection test by immunoassay with direct visual observation for influenza virus	11	11	$19.65	$15.40
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$44.00	$14.99
36415 Insertion of needle into vein for collection of blood sample	11	11	$15.00	$2.67

Medical Specialties & State Licenses

CMS Verified: 2020-10-26

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA 1477

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CT 001207

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

378 Plantation St, Worcester, MA 016052324

Phone: 5083341000

Umass Memorial Medical Group Inc

78 Sutton Ave, Oxford, MA 015401813

Phone: 5084991760

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

19 Associated Practitioners

Corey Caracciolo

Physician Assistant

NPI 1063059566

John O'grady , PA-C

Physician Assistant

NPI 1083689020

Physician Assistant (Certified)

Justin Lepore

Nurse Practitioner

NPI 1114344389

Dr. Oguz Cataltepe , MD

Neurological Surgery

NPI 1174505598

Doctor of Medicine (M.D.)

Dr. Richard Moser , MD

Neurological Surgery

NPI 1225086457

Doctor of Medicine (M.D.)

Dr. Celina Crisman , MD

Neurological Surgery

NPI 1255699963

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 07, 2016

Registered at 55 LAKE AVE N, DEPARTMENT OF SURGERY/NEUROSURGERY, WORCESTER, MA 016550002 (Tel: 5088566354)

📍

Updated Business Mailing Address November 07, 2016

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

👤

Provider Name / Credentials Updated November 07, 2016

Recorded as JEFFERY GIARNESE, P.A.

🎓

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

Physician Assistant (License #1477 in MA)

🟢

Initial NPI Registration & Enumeration February 15, 2006

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: 1114991130

Entity Type:

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

Enumeration Date: February 15, 2006

Last Update: October 26, 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.