JOHN WORDEN (M.D.) – Family Medicine Physician, NPI 1326020223

JOHN WORDEN (M.D.) is a healthcare provider. based in Gardner, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 158996 (MA). The NPI Number for JOHN WORDEN (M.D.) is 1326020223

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
JOHN WORDEN (M.D.)
NPI
1326020223
Phone
(978) 630-6445
Address
250 GREEN ST
Enumeration Date
16 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
9786326445
Graduation Year
1996 (30 years ago)
PAC ID
9638168974
Group Practice PAC ID
4981684420
Professional Enrollment ID
I20040727000860
Address ID
MA014401377GA250XXSTXX306
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

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Provider Addresses for JOHN WORDEN (M.D.)

  • 250, Green Street, Gardner, Worcester County, Massachusetts, 01440, United States

    GARDNER, MA 014401396

    Phone: (978) 630-6445

    Fax: (978) 630-3603

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040727000860IFamily PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes470176$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit126126$0
G0444Annual depression screening, 5 to 15 minutes124124$0
99213Established patient office or other outpatient visit, 20-29 minutes11785$0
36415Insertion of needle into vein for collection of blood sample10483$0
View full utilization report →

Insurance plans in this area (ZIP 01440)

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Provider's Procedures

JOHN WORDEN (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMA85610Blood test, clotting time2013
FAMILY MEDICINEMA90670Pneumococcal vaccine for injection into muscle2424

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981684420View full group profile
NameSpecialtyState
Family PracticeMA

Reviews

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Frequently asked questions

What number should I use to identify JOHN WORDEN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1326020223 for JOHN WORDEN (M.D.).
Quick check: is JOHN WORDEN (M.D.) active?
Public NPPES data shows JOHN WORDEN (M.D.) with an active NPI status right now.
How should patients interpret JOHN WORDEN (M.D.)'s specialty?
The extract shows Family Medicine Physician for JOHN WORDEN (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOHN WORDEN (M.D.)?
JOHN WORDEN (M.D.) is associated with Gardner, Massachusetts in the same public data insurers reference.
Who maintains JOHN WORDEN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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