Provider profile

Heather GothaMD

Orthopaedic Surgery

3 locationsNPI 1669600920
300 Birnie Ave Ste 201, Springfield, MA 01107413-785-4666

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Medicare Advantage plans for Hampden County, MA, New Castle County, DE and Grafton County, NH.

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 50 plans so far

Some of Tufts Health Plan, UnitedHealthcare, Blue Cross Blue Shield of Massachusetts, Health New England Medicare Advantage Plans, Fallon Health, Aetna Medicare, Humana, Commonwealth Care Alliance Massachusetts, Commonwealth Care Alliance, Inc., AmeriHealth Caritas VIP Care (HMO-D-SNP), Devoted, HealthSpring, Molina Healthcare of Massachusetts and Wellcare's 2027 plans in Hampden County, MA, New Castle County, DE and Grafton County, NH haven't been checked yet.

The 97 Medicare Advantage plans we show for Hampden County, MA, New Castle County, DE and Grafton County, NH in 2027

  • 50 list Heather
  • 3 not listed
  • 44 not checked yet

Tufts Health Plan

10 plans list Heather.

10plans
  • Tufts Medicare Preferred HMO Smart Saver Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    HMODrug coverage4 starsH2256-047-001Medicare.gov
    $0a month
  • Tufts Medicare Preferred HMO Basic Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    HMODrug coverage4 starsH2256-026-003Medicare.gov
    $65a month
  • Tufts Medicare Preferred HMO Value Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    HMODrug coverage4 starsH2256-018-008Medicare.gov
    $108a month
  • Tufts Medicare Preferred HMO Prime Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    HMODrug coverage4 starsH2256-015-006Medicare.gov
    $138a month

UnitedHealthcare

9 plans list Heather.

9plans
  • AARP Medicare Advantage from UHC MA-0003 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 301 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 325B King St, Ste 101, Northampton, MA, 01060

    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:

    • 301 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 325B King St, Ste 101, Northampton, MA, 01060

    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:

    • 301 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 325B King St, Ste 101, Northampton, MA, 01060

    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:

    • 301 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 325B King St, Ste 101, Northampton, MA, 01060

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

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

7 more UnitedHealthcare plans haven't been checked yet.

Blue Cross Blue Shield of Massachusetts · Highmark Blue Cross Blue Shield

7 plans list Heather.

7plans
  • Medicare HMO Blue SaverRx (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, Ste 101, East Longmeadow, MA, 01028
    • 265 Benton Dr, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    HMO-POSDrug coverage4.5 starsH2261-024-000Medicare.gov
    $0a month
  • Medicare HMO Blue ValueRx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, Ste 101, East Longmeadow, MA, 01028
    • 265 Benton Dr, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    HMODrug coverage4.5 starsH2261-026-000Medicare.gov
    $68a month
  • Medicare PPO Blue EssentialRx (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, Ste 101, East Longmeadow, MA, 01028
    • 265 Benton Dr, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    PPODrug coverage4 starsH2230-019-000Medicare.gov
    $69a month
  • Medicare PPO Blue ValueRx (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, Ste 101, East Longmeadow, MA, 01028
    • 265 Benton Dr, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    PPODrug coverage4 starsH2230-020-000Medicare.gov
    $108a month

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

Health New England Medicare Advantage Plans

7 plans list Heather.

7plans
  • Health New England Medicare Basic No Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, Ste 101, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    HMONo drug coverage3 starsH8578-009-000Medicare.gov
    $0a month
  • Health New England Medicare Premium No Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, Ste 101, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    HMONo drug coverage3 starsH8578-003-000Medicare.gov
    $0a month
  • Health New England Medicare Value (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, Ste 101, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    HMODrug coverage3 starsH8578-012-000Medicare.gov
    $15a month
  • Health New England Medicare Compass (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, Ste 101, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    PPODrug coverage3 starsH2737-001-000Medicare.gov
    $64a month

Fallon Health

6 plans list Heather.

6plans
  • Fallon Medicare Plus Orange (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, Ste 101, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    HMODrug coverage4 starsH9001-041-016Medicare.gov
    $0a month
  • Fallon Medicare Plus Saver No Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, Ste 101, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    HMONo drug coverage4 starsH9001-039-000Medicare.gov
    $0a month
  • Fallon Medicare Plus Green (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, Ste 101, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    HMODrug coverage4 starsH9001-030-016Medicare.gov
    $72a month
  • Fallon Medicare Plus Blue (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 265 Benton Dr, Ste 101, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    HMODrug coverage4 starsH9001-031-016Medicare.gov
    $117a month

Aetna Medicare

5 plans list Heather.

5plans
  • Aetna Medicare Eagle Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 265 Benton Dr, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    PPONo drug coverage4 starsH5521-296-000Medicare.gov
    $0a month
  • Aetna Medicare Elite (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 265 Benton Dr, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    PPODrug coverage4 starsH5521-160-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 265 Benton Dr, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    HMO-POSDrug coverage3 starsH5793-014-000Medicare.gov
    $0a month
  • Aetna Medicare Signature Extra (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 265 Benton Dr, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

    PPODrug coverage4 starsH5521-450-000Medicare.gov
    $0a month

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

Humana

4 plans list Heather.

4plans
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 325B King St, Northampton, MA, 01060

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

    PPONo drug coverage4 starsH5216-059-000Medicare.gov
    $0a month
  • HumanaChoice Giveback H5216-138 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 325B King St, Northampton, MA, 01060

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

    PPODrug coverage4 starsH5216-138-000Medicare.gov
    $0a month
  • HumanaChoice Giveback H5216-477 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 325B King St, Northampton, MA, 01060

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

    PPODrug coverage4 starsH5216-477-000Medicare.gov
    $0a month
  • HumanaChoice H5216-249 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 325B King St, Northampton, MA, 01060

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

    PPODrug coverage4 starsH5216-249-000Medicare.gov
    $0a month

7 more Humana plans haven't been checked yet.

Commonwealth Care Alliance Massachusetts

1 plan lists Heather.

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

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 50 Wason Ave, Fl 2, Springfield, MA, 01107
    • 265 Benton Dr, Ste 101, East Longmeadow, MA, 01028
    • 265 Benton Dr, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

    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 Heather.

1plan
  • CCA One Care (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 300 Birnie Ave, Ste 201, Springfield, MA, 01107
    • 50 Wason Ave, Fl 2, Springfield, MA, 01107
    • 265 Benton Dr, Ste 101, East Longmeadow, MA, 01028
    • 265 Benton Dr, East Longmeadow, MA, 01028
    • 325B King St, Northampton, MA, 01060

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

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

AmeriHealth Caritas VIP Care (HMO-D-SNP)

Not checked yet.

Devoted

Not checked yet.

HealthSpring

Not checked yet.

Molina Healthcare of Massachusetts

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

Wellcare

Not checked yet.

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

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Heather takes it. Free.

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

300 Birnie Ave Ste 201
Springfield, MA 01107

NPI Registry

4745 Ogletown Stanton Rd, Ste 225
Newark, DE 19713

NPI Registry

1 Medical Center Dr
Lebanon, NH 03756

NPI Registry
NPI issued
2009
Registry record updated
Apr 30, 2024

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

Common questions

Which 2027 Medicare Advantage plans list Heather Gotha?

In Hampden County, MA, New Castle County, DE and Grafton County, NH, 50 Medicare Advantage plans for 2027 list Heather in provider data from Medicare.gov or the carrier, including Tufts Medicare Preferred HMO Smart Saver Rx (HMO), Tufts Medicare Preferred HMO Basic Rx (HMO) and Tufts Medicare Preferred HMO Value Rx (HMO). 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 Heather Gotha practice?

3 locations, including 300 Birnie Ave Ste 201, Springfield, MA. All of them are listed on this page.

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

Call the member services number on your plan card and give them the NPI 1669600920, or ask a Silverpath advisor to check for you. It's free.

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

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Patients can use Silverpath to find practices and check plan networks in Hampden County, MA, New Castle County, DE and Grafton County, NH. 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 2024-04-30). 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 Heather Gotha 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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