FREDERICK INGLIS RUDOLF EYERER (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1104320696

FREDERICK INGLIS RUDOLF EYERER (MD) is a healthcare provider. based in Portland, Maine. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. MD26909 (ME). The NPI Number for FREDERICK INGLIS RUDOLF EYERER (MD) is 1104320696

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
FREDERICK INGLIS RUDOLF EYERER (MD)
NPI
1104320696
Phone
Not provided
Address
53 SPRUCE ST APT 1
Enumeration Date
20 March 2018
Last Update Date
28 June 2023

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
20794182708270
Graduation Year
2018 (8 years ago)
PAC ID
6204190887
Group Practice PAC ID
8820995947
Professional Enrollment ID
I20230711002994
Address ID
ME044016630BA417XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

79 PATHOLOGY in VT

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Provider Addresses for FREDERICK INGLIS RUDOLF EYERER (MD)

  • Spruce Street, West End, Portland, Cumberland County, Maine, 04102, United States

    PORTLAND, ME 041023715

    Phone:

    Type: Mailing

  • University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States

    BURLINGTON, VT 054011473

    Phone: (802) 847-2345

    Type: Location

  • 417 STATE ST STE 439

    BANGOR, ME 044016635

    Phone: (207) 941-8200

    Fax: (207) 990-4846

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: LEICA MICROSYSTEMS INC. ($146).

Total Amount

$146

General + Research + Ownership

Payments

1

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
LEICA MICROSYSTEMS INC.$146
View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-11

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
I20230711002994IPathologyMETBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity328175$0
88341Special stained specimen slides to examine tissue, each additional procedure13639$0
88342Special stained specimen slides to examine tissue, initial procedure8365$0
88307Pathology examination of tissue using a microscope, moderately high complexity8356$0
88360Microscopic genetic analysis of tumor, manual5824$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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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: 8820995947View full group profile
NameSpecialtyState
P A T H O L O G YME
P A T H O L O G YPA
-ME
P A T H O L O G YPA
P A T H O L O G YME
P A T H O L O G YLA
P A T H O L O G YME
-ME
P A T H O L O G YME
P A T H O L O G YME

Reviews

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Frequently asked questions

Is there an official ID for FREDERICK INGLIS RUDOLF EYERER (MD) in U.S. healthcare records?
The official identifier for FREDERICK INGLIS RUDOLF EYERER (MD) is NPI 1104320696.
Active or inactive — what applies to FREDERICK INGLIS RUDOLF EYERER (MD)?
You should see FREDERICK INGLIS RUDOLF EYERER (MD) as active in CMS-hosted NPPES data.
What area of care is associated with FREDERICK INGLIS RUDOLF EYERER (MD)?
FREDERICK INGLIS RUDOLF EYERER (MD)'s record emphasizes Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with FREDERICK INGLIS RUDOLF EYERER (MD)?
Directory geography for FREDERICK INGLIS RUDOLF EYERER (MD) centers on Portland, Maine.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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