ANN M COUGHLAN (M.D.) – Internal Medicine Physician, NPI 1003997115

ANN M COUGHLAN (M.D.) is a healthcare provider. based in Damariscotta, Maine. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 017392 (ME). The NPI Number for ANN M COUGHLAN (M.D.) is 1003997115

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
ANN M COUGHLAN (M.D.)
NPI
1003997115
Phone
(207) 563-4250
Address
5 MILES CENTER WAY
Enumeration Date
17 October 2006
Last Update Date
12 March 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
3375634470
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20070803000126
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ANN M COUGHLAN (M.D.)

  • Miles Center Way, Damariscotta, Lincoln County, Maine, 04543, United States

    UNIT 1

    DAMARISCOTTA, ME 045434067

    Phone: (207) 563-4250

    Fax: (207) 563-4561

    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: 2007-08-03

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
I20070803000126IInternal MedicineMETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04543)

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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: 7517860588View full group profile
NameSpecialtyState
Physician AssistantPA
-ME
-ME
-ME
Family Practice, Hospice/Palliative CareME
Pediatric Medicine, EndocrinologyMA
-ME
Family PracticeME
Nurse PractitionerME
Family Practice, Sports MedicineME

Reviews

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Frequently asked questions

What unique ID ties claims to ANN M COUGHLAN (M.D.)?
NPI 1003997115 is assigned to ANN M COUGHLAN (M.D.) under the national enumeration system.
Is ANN M COUGHLAN (M.D.)'s NPI currently valid?
The extract we use shows ANN M COUGHLAN (M.D.) as active.
What kind of provider is ANN M COUGHLAN (M.D.)?
The page reflects Internal Medicine Physician for ANN M COUGHLAN (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for ANN M COUGHLAN (M.D.)?
We surface Damariscotta, Maine for ANN M COUGHLAN (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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