2026 NPPES data Pediatrics Physician NPI 1982799417 MD
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MARY-ALICE ABBOTT, MD

Pediatrics Physician in WORCESTER, Massachusetts. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
16
Medicare Part D claims · Pediatrics Physician avg: 762
Generic prescribing
6%
generic claims · 94% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: MARY-ALICE ABBOTT, MD is a Pediatrics Physician ([object Object]) practicing in WORCESTER, Massachusetts with a Medicare Part D prescribing footprint of 16 claims — 94% brand-name prescribing .

What stands out: MARY-ALICE ABBOTT, MD filed 16 Medicare Part D claims in 2023 across WORCESTER, Massachusetts. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MARY-ALICE ABBOTT, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MARY-ALICE ABBOTT, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 10/03/2006

NPI 1982799417

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

16 98% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Massachusetts

How Pediatrics Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Pediatrics Physician share within Massachusetts

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatrics Physician ABMS/AOA estimate

Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MARY-ALICE ABBOTT, MD is a Pediatrics Physician provider practicing in WORCESTER, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1982799417. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARY-ALICE ABBOTT, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 55 LAKE AVE N, WORCESTER, MA, 01655, with a listed phone of (774) 442-5695. NPI 1982799417 was issued on 10/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABBOTT most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 16 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $427K in drug spend, split 94% brand-name and 6% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

55 LAKE AVE N
WORCESTER, MA 01655

Provider Details

NPI 1982799417
Specialty Pediatrics Physician
Credentials MD
Gender Female
NPI Issued 10/03/2006

Hospital and facility affiliations

Facilities where MARY-ALICE ABBOTT, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BAYSTATE MEDICAL PRACTICES INC
SPRINGFIELD, MA
UMASS MEMORIAL MEDICAL GROUP INC
WORCESTER, MA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Massachusetts BORIM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 — they are NOT specific to MARY-ALICE ABBOTT, MD. To verify MARY-ALICE ABBOTT, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

MARY-ALICE ABBOTT, MD — brand share 94.0%
Specialty average (est.)

94% brand-name claims vs 6% generic, on 16 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

16
Total Claims
$427K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16
Total Day Supply
378
Brand vs Generic
94% brand / 6% generic
Brand Drug Cost
$427K

Patient Demographics

Average Patient Age
66.0 years
Avg HCC Risk Score
1.93

Pediatrics Physician Overview

How MARY-ALICE ABBOTT, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

MARY-ALICE ABBOTT, MD's 16 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in Massachusetts

Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as ABBOTT.

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARY-ALICE ABBOTT, MD's specialty?
MARY-ALICE ABBOTT, MD specializes in Pediatrics Physician and practices in WORCESTER, Massachusetts. Credentials: MD.
How much does MARY-ALICE ABBOTT, MD prescribe under Medicare Part D?
In 2023, MARY-ALICE ABBOTT, MD wrote 16 Medicare Part D claims totaling $427K in drug costs for N/A beneficiaries.
Where is MARY-ALICE ABBOTT, MD located?
MARY-ALICE ABBOTT, MD is located at 55 LAKE AVE N, WORCESTER, MA, 01655. Phone: (774) 442-5695.
What is MARY-ALICE ABBOTT, MD's NPI number?
MARY-ALICE ABBOTT, MD's National Provider Identifier (NPI) is 1982799417, issued on 10/03/2006.
Does MARY-ALICE ABBOTT, MD prescribe more brand-name or generic drugs?
MARY-ALICE ABBOTT, MD's prescribing is 94% brand-name and 6% generic drugs by claim count, with $427K in brand drug costs.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
Does MARY-ALICE ABBOTT, MD accept Medicare?
MARY-ALICE ABBOTT, MD appears in CMS Medicare data with 16 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARY-ALICE ABBOTT, MD's credentials?
MARY-ALICE ABBOTT, MD's NPI is 1982799417 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology