Active NPI 1750350849 Individual Practitioner Male Practitioner

Dr. Paul L Arcand , MD

Surgery • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Arcand, MD is a certified Surgery practicing in Worcester, MA. With approximately 35 years of clinical experience since graduating from Tufts University School Of Medicine in 1991, Dr. Arcand delivers high-quality medical care to the local community at 123 SUMMER STREET.

Dr. Arcand is affiliated with Reliant Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, 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

123 Summer Street
Suite 210

Worcester, MA 01608

Telephone 5083683190

Fax 5083683985

Associated Practice Facility / Clinic

🏢 Reliant Medical Group, Inc Facility NPI 1184812620

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +11.6 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

48 Specialists

Practicing in Worcester, MA (1077 Statewide)

Telehealth Adoption Rate

20.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Arcand (35 Years) 35 Yrs

Worcester Specialty Average (23.4 Years) 23.4 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$455.00	$166.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$305.00	$111.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	43	$313.00	$128.24
99213 Established patient office or other outpatient visit, typically 15 minutes	27	20	$211.00	$92.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	13	$187.00	$77.62
49650 Repair of groin hernia using an endoscope	16	16	$1221.88	$431.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$354.00	$128.61
49593 Initial repair of sliding hernia of abdomen, 3-10 cm in length	11	11	$1300.00	$556.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$455.00	$160.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$305.00	$114.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$313.00	$130.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	17	$187.00	$79.28
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$261.00	$83.68
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$211.00	$92.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$521.00	$175.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$454.20	$171.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$313.00	$133.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$300.85	$116.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$187.00	$72.57
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$261.00	$102.02
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$1900.00	$705.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$354.00	$137.69
99213 Established patient office or other outpatient visit, typically 15 minutes	17	13	$211.00	$94.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$445.00	$173.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	42	$313.00	$133.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$289.00	$117.59
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$211.00	$94.46
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$261.00	$103.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	11	$187.00	$73.80
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$1900.00	$745.16

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	57	57	$289.00	$113.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	39	$313.00	$112.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$437.00	$172.69
99221 Initial hospital inpatient care per day, typically 30 minutes	32	32	$261.00	$106.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	31	29	$57.00	$24.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$354.00	$144.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$187.00	$75.64
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$211.00	$75.74
49505 Repair of groin hernia (5 years or older)	14	14	$1298.00	$561.81
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1787.00	$709.33

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	62	62	$289.00	$110.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	47	$313.00	$112.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$437.73	$171.35
99221 Initial hospital inpatient care per day, typically 30 minutes	44	43	$261.00	$104.97
99213 Established patient office or other outpatient visit, typically 15 minutes	38	28	$211.00	$77.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	12	$187.00	$75.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$354.00	$141.67
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$1787.00	$765.45

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	62	62	$275.00	$112.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	54	$298.00	$110.85
99221 Initial hospital inpatient care per day, typically 30 minutes	50	47	$249.00	$105.27
99213 Established patient office or other outpatient visit, typically 15 minutes	48	42	$201.00	$74.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$415.00	$171.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	29	$178.00	$75.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$337.00	$141.88
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	14	$790.00	$278.53
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1787.00	$703.44

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	81	81	$270.00	$110.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	49	$273.09	$110.99
99221 Initial hospital inpatient care per day, typically 30 minutes	46	44	$249.00	$103.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	21	$178.00	$73.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$411.00	$168.60
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$186.10	$75.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$337.00	$139.71
49505 Repair of groin hernia (5 years or older)	14	14	$1344.36	$557.39

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 80698

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3158861 (MA)

Commercial Insurance / Payer ID Medicare B

A21659

Commercial Insurance / Payer ID Mvp Health Care

782795

Commercial Insurance / Payer ID Fallon Community Health P

991174

Commercial Insurance / Payer ID First Health

1059461

Commercial Insurance / Payer ID Childrens Med Sec Plan

46054

Commercial Insurance / Payer ID Blue Shield Indemnity

J17053

Commercial Insurance / Payer ID Healthy Start

46054

Commercial Insurance / Payer ID Railroad Medicare

020046512

Commercial Insurance / Payer ID Healthcare Value Mgmt

042472266

Hospital & Practice Group Affiliations

Reliant Medical Group Inc

123 Summer St, Worcester, MA 016081216

Phone: 5083635000

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Elizabeth Mahanor , MD

Surgery - Vascular Surgery

NPI 1013994755

Doctor of Medicine (M.D.)

Jessica Day , NP-C

Nurse Practitioner

NPI 1083014955

Nurse Practitioner (Certified)

Dr. Michael Potter , MD

Surgery

NPI 1124004403

Doctor of Medicine (M.D.)

Diane Fruit , NP

Nurse Practitioner

NPI 1205896560

Nurse Practitioner

Dr. Edward Amaral , MD

Surgery

NPI 1235273921

Doctor of Medicine (M.D.)

Dr. John Najjar , MD

Surgery - Vascular Surgery

NPI 1487630935

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 January 30, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2009

Registered at 123 SUMMER STREET, SUITE 210, WORCESTER, MA 01608 (Tel: 5083683190)

📍

Updated Business Mailing Address January 30, 2009

Registered at 630 PLANTATION ST, WORCESTER, MA 016052038 (Tel: 5083683190)

👤

Provider Name / Credentials Updated January 30, 2009

Recorded as PAUL ARCAND, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2009

Surgery (License #80698 in MA)

🟢

Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1750350849

Entity Type:

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

Enumeration Date: March 14, 2006

Last Update: January 30, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

630 Plantation St

Worcester, MA 016052038

Phone: 5083683190

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.