NPIMap

Individual provider Active NPI

Tricia L Vorderstrasse, M.D.

  • Family Medicine Physician
  • Gardner, MA
National Provider Identifier
1619953247
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
215822 Issued in MA
Practice address
725 Timpany Blvd
Suite 106
Gardner, MA 01440-3453
Phone
(978) 632-8100
Fax
(978) 632-8400
NPI assigned
Dec 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 215822 MA Primary

Addresses

Primary practice location

725 Timpany Blvd
Suite 106
Gardner, MA 01440-3453

Mailing address

725 Timpany Blvd
Suite 106
Gardner, MA 01440-3453
Phone (978) 632-8100

Other identifiers 1

IdentifierTypeStateIssuer
0187071MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708001199 MA Practitioner - Family Practice 3577541358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Athol Memorial Hospital IncorporatedGroup PAC ID 7911959846, 81 clinicians
Henry Heywood Memorial HospitalGroup PAC ID 1658262605, 116 clinicians
Tricia Vorderstrasse MD PCGroup PAC ID 5294903308, 4 clinicians

Practice addresses (Care Compare)

2033 Main St
Athol, MA 01331-3535
Phone (978) 249-3511

242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420

725 Timpany Blvd
Gardner, MA 01440-3453
Phone 97863281005

Hospital & facility affiliations

  • Care Central Vna & Hospice Inc Home health agency, Gardner, MA, CCN 227003
  • Caretenders Home health agency, Needham Heights, MA, CCN 227269
  • Care Central Vna & Hospice Hospice, Gardner, MA, CCN 221529
  • Heywood Hospital - Hospital, Gardner, MA, CCN 220095
  • Athol Memorial Hospital Hospital, Athol, MA, CCN 221303
  • Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176
  • Quabbin Valley Healthcare Nursing home, Athol, MA, CCN 225296
  • Alliance Health at Baldwinville Nursing home, Baldwinville, MA, CCN 225388

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions34
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
215822MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athol Memorial Hospital Incorporated Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Henry Heywood Memorial Hospital Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Aug 1, 2020 Accepting new patients
Shriver Clinical Services Corporation Past Accepting new patients
David C. Flemming MD PLLC Past Accepting new patients
Department of Developmental Services Past Accepting new patients
Trustees of Tufts University Past Accepting new patients
Blupoint Healthcare, LLC Past Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

250 Green St
Ste 106
Gardner, MA 01440
Phone (978) 632-7626

55 Hospital Dr
Winchendon, MA 01475
Phone (978) 297-2311

Interoperability endpoints

  • Direct secure messaging: drvorderstrasse@tvmd.medentdirect.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1619953247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 TIMPANY BLVD",
            "address_2": "SUITE 106",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403453",
            "telephone_number": "978-632-8100",
            "fax_number": "978-632-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 TIMPANY BLVD",
            "address_2": "SUITE 106",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403453",
            "telephone_number": "978-632-8100",
            "fax_number": "978-632-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORDERSTRASSE",
        "first_name": "TRICIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "215822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0187071",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.