Provider profile

Samantha Duncan

Nurse Practitioner, Pediatrics

3 locationsNPI 1225580871
55 Lake Ave N, Worcester, MA 01655774-441-6700

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Medicare Advantage plans for Worcester and Middlesex counties, MA.

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 9 plans so far

Some of UnitedHealthcare, Commonwealth Care Alliance Massachusetts, Commonwealth Care Alliance, Inc., Aetna Medicare, Blue Cross Blue Shield of Massachusetts, eternalHealth, Fallon Health, Humana, Mass General Brigham Health Plan, Molina Healthcare of Massachusetts and Tufts Health Plan's 2027 plans in Worcester and Middlesex counties, MA haven't been checked yet.

The 71 Medicare Advantage plans we show for Worcester and Middlesex counties, MA in 2027

  • 9 list Samantha
  • 38 not listed
  • 24 not checked yet

UnitedHealthcare

7 plans list Samantha; not listed on 2 other plans.

7plans
  • AARP Medicare Advantage from UHC MA-0003 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 55 Lake Ave N, Worcester, MA, 01655
    • 119 Belmont St, Worcester, MA, 01605
    • 118 Portsmouth Ave, Bldg D, Stratham, NH, 03885

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-157-001Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx MA-MA01 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 55 Lake Ave N, Worcester, MA, 01655
    • 119 Belmont St, Worcester, MA, 01605
    • 118 Portsmouth Ave, Bldg D, Stratham, NH, 03885

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH8768-045-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx MA-MA2 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 55 Lake Ave N, Worcester, MA, 01655
    • 119 Belmont St, Worcester, MA, 01605
    • 118 Portsmouth Ave, Bldg D, Stratham, NH, 03885

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage4 starsH5253-225-000Medicare.gov
    $0a month
  • AARP Medicare Advantage from UHC MA-0006 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 55 Lake Ave N, Worcester, MA, 01655
    • 119 Belmont St, Worcester, MA, 01605
    • 118 Portsmouth Ave, Bldg D, Stratham, NH, 03885

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH8768-055-001Medicare.gov
    $67a month

2 more UnitedHealthcare plans haven't been checked yet.

Commonwealth Care Alliance Massachusetts

1 plan lists Samantha.

1plan
  • CCA Senior Care Options (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 55 Lake Ave N, Worcester, MA, 01655
    • 119 Belmont St, Worcester, MA, 01605
    • 55 Lake Ave N, Fl 3, Worcester, MA, 01655

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4.5 starsH2225-001-000Medicare.gov
    $33.80a month

Commonwealth Care Alliance, Inc.

1 plan lists Samantha.

1plan
  • CCA One Care (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 55 Lake Ave N, Worcester, MA, 01655
    • 119 Belmont St, Worcester, MA, 01605
    • 55 Lake Ave N, Fl 3, Worcester, MA, 01655

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH1486-001-000Medicare.gov
    $33.80a month

Aetna Medicare

Not checked yet.

4 more Aetna Medicare plans haven't been checked yet.

Blue Cross Blue Shield of Massachusetts

Not checked yet.

4 more Blue Cross Blue Shield of Massachusetts plans haven't been checked yet.

eternalHealth

Not checked yet.

Fallon Health

Not checked yet.

3 more Fallon Health plans haven't been checked yet.

Humana

Not listed on its 5 plans here. That isn't proof they're out of network.

Mass General Brigham Health Plan

Not checked yet.

2 more Mass General Brigham Health Plan plans haven't been checked yet.

Molina Healthcare of Massachusetts

Not listed on its 3 plans here. That isn't proof they're out of network.

Tufts Health Plan

Not checked yet.

6 more Tufts Health Plan plans haven't been checked yet.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

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Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 23, 2026

Compare Supplement plans

3 practice locations

55 Lake Ave N
Worcester, MA 01655

NPI Registry

119 Belmont St
Worcester, MA 01605

NPI Registry

#1059 771 Boston Post Road, Ste 11
Marlborough, MA 01752

NPI Registry
NPI issued
2016
Registry record updated
Apr 17, 2026

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Samantha Duncan?

In Worcester and Middlesex counties, MA, 9 Medicare Advantage plans for 2027 list Samantha in provider data from Medicare.gov or the carrier, including AARP Medicare Advantage from UHC MA-0003 (HMO-POS), AARP Medicare Advantage Patriot No Rx MA-MA01 (PPO) and AARP Medicare Advantage Patriot No Rx MA-MA2 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Where does Samantha Duncan practice?

3 locations, including 55 Lake Ave N, Worcester, MA. All of them are listed on this page.

How do I confirm Samantha is in my plan's network?

Call the member services number on your plan card and give them the NPI 1225580871, or ask a Silverpath advisor to check for you. It's free.

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Talk to a licensed advisor

A Silverpath advisor can confirm Samantha's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

Patients can use Silverpath to find practices and check plan networks in Worcester and Middlesex counties, MA. Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2026-04-17). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 14, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Samantha Duncan or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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