TAMARA WILLOUGHBY (MD) – Emergency Medicine Physician, NPI 1013989193

TAMARA WILLOUGHBY (MD) is a healthcare provider. based in Lewiston, Maine. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 015264 (ME). The NPI Number for TAMARA WILLOUGHBY (MD) is 1013989193

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA WILLOUGHBY (MD)
NPI
1013989193
Phone
(207) 795-5011
Address
300 MAIN ST
Enumeration Date
3 February 2006
Last Update Date
25 July 2011

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2077955646
Graduation Year
1993 (33 years ago)
PAC ID
5496726655
Group Practice PAC ID
3375774227
Professional Enrollment ID
I20040803000420
Address ID
ME042407027LE300XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

404 EMERGENCY MEDICINE in ME

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Provider Addresses for TAMARA WILLOUGHBY (MD)

  • Central Maine Medical Center, 300, Main Street, Lewiston, Androscoggin County, Maine, 04240, United States

    LEWISTON, ME 042407007

    Phone: (207) 795-5011

    Fax: (207) 753-7201

    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: 2004-08-03

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
I20040803000420IEmergency 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making7170$0
99285Emergency department visit with high level of medical decision making6161$0
99283Emergency department visit with low level of medical decision making1616$0
99291Critical care, first 30-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 04240)

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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: 3375774227View full group profile
NameSpecialtyState
Physician AssistantNH
Emergency MedicineNH
-MA
Nurse PractitionerCT
Emergency MedicineMD
Emergency MedicineNH
Emergency MedicineMA
Emergency MedicineCT
Emergency MedicineME
Emergency MedicineME

Reviews

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Frequently asked questions

What is the 10-digit NPI for TAMARA WILLOUGHBY (MD)?
TAMARA WILLOUGHBY (MD) — NPI 1013989193 — is the standard way to identify this listing.
Is TAMARA WILLOUGHBY (MD) still practicing?
TAMARA WILLOUGHBY (MD) is currently listed as active in the public NPI registry.
What is TAMARA WILLOUGHBY (MD)'s specialty?
The listing groups TAMARA WILLOUGHBY (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does TAMARA WILLOUGHBY (MD) list a practice location?
Patients near Lewiston, Maine may find TAMARA WILLOUGHBY (MD) in results; validate coverage separately.
Is the information about TAMARA WILLOUGHBY (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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