DR. JEFFREY S GORODETSKY (M.D.) – Family Medicine Physician, NPI 1780613935
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,900 FAMILY PRACTICE in MA
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Provider Addresses for DR. JEFFREY S GORODETSKY (M.D.)
Lifetime Center For Family Health, 630, Plantation Street, Worcester, Worcester County, Massachusetts, 01605, United States
WOT 12TH FL
WORCESTER, MA 016052038
Phone: (508) 368-5532
Type: Mailing
Lifetime Center For Family Health, 165, Mill Street, Leominster, Worcester County, Massachusetts, 01453, United States
LEOMINSTER, MA 014533289
Phone: (978) 466-3212
Fax: (978) 534-3581
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $628.
Total Amount is formed as General ($628) + Research ($0) + Ownership ($0) = $628.
Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Sekisui Diagnostics, LLC ($380).
Total Amount
$628
General + Research + Ownership
Payments
5
Total payment records
General Amount
$628
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sekisui Diagnostics, LLC | $380 |
| Lilly USA, LLC | $113 |
| AstraZeneca Pharmaceuticals LP | $105 |
| PFIZER INC. | $30 |
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: 2015-11-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151113000959 | I | Family Practice | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 387 | 121 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 360 | 119 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 222 | 127 | $0 |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 105 | 93 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 25 | $0 |
Insurance plans in this area (ZIP 01605)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Interventional Cardiology | MA | |
| - | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | MA | |
| Family Practice | NM | |
| - | MA | |
| - | MA | |
| Family Practice | MA | |
| - | MA | |
| Physician Assistant | MA |
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