Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1013969765
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Mercy Hospital, 144, State Street, Old Port, Portland, Cumberland County, Maine, 04102, United States
THIRD FLOOR
PORTLAND, ME 041013776
Phone: (207) 879-3120
Fax: (207) 879-3127
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)
CMS reports 2 Open Payments records for all available years, with a total value of $227.
Total Amount is formed as General ($227) + Research ($0) + Ownership ($0) = $227.
Last reported payment date: 2024-09-28 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($125).
Total Amount
$227
General + Research + Ownership
Payments
2
Total payment records
General Amount
$227
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $125 |
| Genentech USA, Inc. | $102 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 35 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 04101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| - | ME | |
| - | ME |
Reviews
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