REBECCA BLUMHOFER M.D.
NPI 1184943334
Family Medicine in Worcester, MA
NPI Status: Active since May 27, 2010
Contact Information
26 QUEEN ST
WORCESTER, MA
ZIP 01610
Phone: (508) 860-7700
Fax: (508) 860-7929
- Individual
- Female
- Years of Experience 16
- Family Medicine
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About REBECCA BLUMHOFER
This page provides the complete NPI Profile along with additional information for Rebecca Blumhofer, a primary care provider established in Worcester, Massachusetts with a medical specialization in Family Medicine and more than 16 years of experience. She graduated from Warren Alpert Medical School Of Brown University in 2010. The healthcare provider is registered in the NPI registry with number 1184943334 assigned on May 2010. The practitioner's primary taxonomy code is 207Q00000X with license number 254156 (MA). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1184943334
- Provider Name
- REBECCA BLUMHOFER M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 26 QUEEN ST WORCESTER, MA 01610
- Location Phone
- (508) 860-7700
- Location Fax
- (508) 860-7929
- Mailing Address
- 26 QUEEN ST WORCESTER, MA 01610
- Mailing Phone
- (508) 860-7700
- Mailing Fax
- (508) 860-7929
- Medical School Name
- WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
- Graduation Year
- 2010
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-27-2010
- Last Update Date
- 07-31-2013
- Code Navigator
A primary care provider (PCP) like Rebecca Blumhofer sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 254156
- License State
- MA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Rebecca Blumhofer is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Rebecca Blumhofer is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4082840145
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20140131001686
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01610 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Rebecca Blumhofer is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT STREET SPRINGFIELD, MA 01199 | (413) 794-0000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 8 | 4 | 9 | 4 | 3 | 3 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 18 | 4 | 6 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 1 + 8 + 4 + 6 + 3 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1184943334 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780665026 | MATTHEW A SILVA PHARM.D. Individual | Pharmacist | 26 QUEEN ST FAMILY HEALTH CENTER PHARMACY WORCESTER, MA 01610 (508) 860-7790 |
| 1407839178 | DR. LINDA WEINREB M.D. Individual | Family Medicine | 26 QUEEN ST WORCESTER, MA 01610 (508) 860-7700 |
| 1306823844 | MS. SUANNE PETROFF NP Individual | Nurse Practitioner (Family) | 26 QUEEN ST FAMILY CENTER OF WORCESTER WORCESTER, MA 01610 (508) 860-7700 |
| 1730145533 | JENNIFER J AVERILL MOFFITT CNM Individual | Midwife | 26 QUEEN ST FAMILY HEALTH CENTER OF WORCESTER, INC. WORCESTER, MA 01610 (508) 860-7700 |
| 1205846441 | BONNIE-JEAN MACKINNON WOMENS HEALTH Individual | Registered Nurse (Perinatal) | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1043220155 | SANDRA J VELAZQUEZ PEDIATRIC NP Individual | Nurse Practitioner (Pediatrics) | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1215947528 | MARK D SHELTON LICSW Individual | Social Worker | 26 QUEEN ST SOCIAL SERVICES WORCESTER, MA 01610 (508) 860-7700 |
| 1942211487 | JUDITH A GALLANT-ROOT FAMILY MEDICINE Individual | Nurse Practitioner (Family) | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1073524419 | MARTHA M SULLIVAN GENERAL DENTISTRY Individual | Dentist | 26 QUEEN ST DENTAL WORCESTER, MA 01610 (508) 860-7700 |
| 1457362998 | LILLIAN M CHENELL FNP, PNP Individual | Nurse Practitioner (Family) | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1649281106 | JO-ELLEN R BRODEUR FAMILY PRACTICE Individual | Physician Assistant | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1972514180 | LISA H CARTER FAMILY PRACTICE Individual | Family Medicine | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1386655744 | GABRIEL J OCHOA GENERAL DENTISTRY Individual | Dentist | 26 QUEEN ST DENTAL WORCESTER, MA 01610 (508) 860-7700 |
| 1780695130 | SUJATHA L REVUR GENERAL DENTISTRY Individual | Dentist | 26 QUEEN ST DENTAL WORCESTER, MA 01610 (508) 860-7700 |
| 1093726382 | LUCY M CANDIB MD Individual | Family Medicine | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1952312969 | SARA G SHIELDS FAMILY PRACTICE Individual | Family Medicine | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1356352439 | VALERIE F PIETRY FAMILY PRACTICE Individual | Family Medicine | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1316959166 | LISE J TARDIF FAMILY PRACTICE Individual | Family Medicine | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1609888445 | DR. THEODORE M SHOEMAKER FAMILY PRACTICE Individual | Family Medicine | 26 QUEEN ST MEDICAL WORCESTER, MA 01610 (508) 860-7700 |
| 1336223148 | THUTRANG LE CHANG Individual | Pharmacist | 26 QUEEN ST WORCESTER, MA 01610 (508) 860-7731 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184943334, enumerated in the NPI registry as an "individual" on May 27, 2010
The provider is located at 26 Queen St Worcester, Ma 01610 and the phone number is (508) 860-7700
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider has more than 16 years of experience. She graduated from Warren Alpert Medical School Of Brown University in 2010.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.7 with an average copayment of $22.67 for new patient appointments. Established patients should expect a typical charge of $103.48 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.
The practitioner is affiliated to the following hospital(s): BAYSTATE MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on May 27, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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