RANDALL J. MORSE M.D.
NPI 1699901488
Internal Medicine in Worcester, MA
NPI Status: Active since June 08, 2009
- Individual
- Male
- Internal Medicine
- Accepts Insurance
- PECOS Enrolled
About RANDALL MORSE
This page provides the complete NPI Profile along with additional information for Randall Morse, an internist established in Worcester, Massachusetts with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1699901488 assigned on June 2009. The practitioner's primary taxonomy code is 207R00000X with license number 250123 (MA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1699901488
- Provider Name
- RANDALL J. MORSE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 291 LINCOLN ST WORCESTER, MA 01605
- Location Phone
- (508) 334-6251
- Mailing Address
- PO BOX 415348 BOSTON, MA 02241
- Mailing Phone
- (800) 225-8885
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-08-2009
- Last Update Date
- 05-01-2022
- Code Navigator
An internist like Randall Morse is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 250123
- License State
- MA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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
Randall Morse 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
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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Medical/Surgical Supplies (DA000N)
Tape, waterproof, per 18 square inches (HCPCS:A4452)
1 DME suppliers used 13 Medicare Claims 2640 Services Paid
DME-Medical/Surgical Supplies (DA023N)
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing (HCPCS:A6196)
1 DME suppliers used 15 Medicare Claims 480 Services Paid
DME-Medical/Surgical Supplies (DA023N)
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing (HCPCS:A6402)
2 DME suppliers used 23 Medicare Claims 1150 Services Paid
DME-Medical/Surgical Supplies (DA023N)
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard (HCPCS:A6446)
2 DME suppliers used 23 Medicare Claims 2829 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Wheelchairs (DD000N)
Standard wheelchair (HCPCS:K0001)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Follow-up nursing facility visit per day, typically 10 minutes
Follow-up nursing facility visit per day, typically 10 minutes
Follow-up nursing facility visit per day, typically 15 minutes
Follow-up nursing facility visit per day, typically 15 minutes
Follow-up nursing facility visit per day, typically 25 minutes
Follow-up nursing facility visit per day, typically 25 minutes
Follow-up nursing facility visit per day, typically 35 minutes
Hospital discharge day management, more than 30 minutes
Initial nursing facility visit per day, typically 45 minutes
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 22 times for 17 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 37 times for 20 patientsA follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
This service was performed 22 times for 21 patientsA follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
This service was performed 30 times for 21 patientsA follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 69 times for 46 patientsA follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 88 times for 44 patientsA follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 124 times for 63 patientsA follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 68 times for 38 patientsA follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
This service was performed 44 times for 31 patientsHospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
This service was performed 12 times for 11 patientsAn initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
This service was performed 88 times for 83 patientsPhysician 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 01605 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.47
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.61
- 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.
Reviews for RANDALL J. MORSE M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 6 | 9 | 9 | 9 | 0 | 1 | 4 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 18 | 0 | 2 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 8 + 0 + 2 + 4 + 1 + 6 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1699901488 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1245214428 | DR. EASTER CHIU M.D. Individual | Pediatrics | 291 LINCOLN ST SUITE 101 WORCESTER, MA 01605 (508) 752-7888 |
| 1700981594 | DON PAUL DEPREZ M.D. Individual | Obstetrics & Gynecology | 291 LINCOLN ST SUITE 300 WORCESTER, MA 01605 (508) 799-0010 |
| 1164514048 | HAHNEMANN UROLOGY ASSOCIATES, INC. Organization | Urology | 291 LINCOLN ST SUITE 201 WORCESTER, MA 01605 (508) 755-8663 |
| 1225255896 | EMILY MICHELLE HOADLEY DPT Individual | Physical Therapist | 291 LINCOLN ST WORCESTER, MA 01605 (508) 753-2967 |
| 1083829014 | MS. TRACY M. CORMIER NP Individual | Nurse Practitioner | 291 LINCOLN ST EMPLOYEE HEALTH WORCESTER, MA 01605 (508) 793-6400 |
| 1659543486 | HELEN CARTER, M.D. Organization | Internal Medicine | 291 LINCOLN ST SUITE 200 WORCESTER, MA 01605 (508) 797-1300 |
| 1356432603 | SUBHASH C. GULATI, MD , FACS INC Organization | Surgery | 291 LINCOLN ST SUITE 204 WORCESTER, MA 01605 (508) 755-0770 |
| 1598707374 | MR. MICHAEL SMITH LICSW Individual | Social Worker (Clinical) | 291 LINCOLN ST WORCESTER, MA 01605 (508) 334-3240 |
| 1174687289 | JAMES P HUGHES MD PC Organization | Otolaryngology | 291 LINCOLN ST WORCESTER, MA 01605 (508) 752-3439 |
| 1336351501 | PAIN MANAGEMENT & SPINAL CARE, LLC Organization | Chiropractor | 291 LINCOLN ST STE. 100 WORCESTER, MA 01605 (508) 795-1810 |
| 1699746024 | PAULA B BELLIN M.D. Individual | Urology | 291 LINCOLN ST SUITE 201 WORCESTER, MA 01605 (508) 755-8663 |
| 1558334045 | STEPHEN E. TOSI M.D. Individual | Urology | 291 LINCOLN ST SUITE 201 WORCESTER, MA 01605 (508) 755-8663 |
| 1528041423 | DR. JAYANTHI KUMAR M.D. Individual | Internal Medicine | 291 LINCOLN ST WORCESTER, MA 01605 (508) 752-7464 |
| 1710962154 | RONALD B CRUZ MD Individual | Internal Medicine | 291 LINCOLN ST WORCESTER, MA 01605 (508) 799-2922 |
| 1356325047 | DR. LUIS A GARCIA M.D. Individual | Pediatrics | 291 LINCOLN ST SUITE 101 WORCESTER, MA 01605 (508) 752-7888 |
| 1679555817 | DR. WILLIAM W WOODRUFF M.D. Individual | Pediatrics | 291 LINCOLN ST SUITE 101 WORCESTER, MA 01605 (508) 752-7888 |
| 1326139668 | SUBHASH C. GULATI M.D F A C S, INC Individual | Surgery | 291 LINCOLN ST SUITE 204 WORCESTER, MA 01605 (508) 755-0770 |
| 1912273087 | NOSHEEN ALI ISHAQUE M.D. Individual | Internal Medicine | 291 LINCOLN ST WORCESTER, MA 01605 (508) 792-1788 |
| 1891179735 | ARMENIA MORDAN VASQUEZ MD Individual | Internal Medicine | 291 LINCOLN ST WORCESTER, MA 01605 (508) 799-2922 |
| 1710408463 | NASIFA NUR MD Individual | Internal Medicine | 291 LINCOLN ST WORCESTER, MA 01605 (508) 792-1788 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699901488, enumerated in the NPI registry as an "individual" on June 08, 2009
The provider is located at 291 Lincoln St Worcester, Ma 01605 and the phone number is (508) 334-6251
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
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 $134.47 with an average copayment of $33.61 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 most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Follow-up nursing facility visit per day, typically 10 minutes, Follow-up nursing facility visit per day, typically 10 minutes, Follow-up nursing facility visit per day, typically 15 minutes, Follow-up nursing facility visit per day, typically 15 minutes, Follow-up nursing facility visit per day, typically 25 minutes, Follow-up nursing facility visit per day, typically 25 minutes, Follow-up nursing facility visit per day, typically 35 minutes, Hospital discharge day management, more than 30 minutes and Initial nursing facility visit per day, typically 45 minutes.
This NPI record was last updated on June 08, 2009. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.