CLAUDIO READER (M.D.) – Internal Medicine Physician, NPI 1245288026

CLAUDIO READER (M.D.) is a healthcare provider. based in Biddeford, Maine. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD11868 (RI). The NPI Number for CLAUDIO READER (M.D.) is 1245288026

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
CLAUDIO READER (M.D.)
NPI
1245288026
Phone
(207) 283-7937
Address
1 Medical Center Dr
Enumeration Date
4 May 2006
Last Update Date
7 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6034365110
Graduation Year
1971 (55 years ago)
PAC ID
4385676931
Group Practice PAC ID
8527423706
Professional Enrollment ID
I20120423000733
Address ID
NH038017128PO333XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

916 INTERNAL MEDICINE in ME

Provider Addresses for CLAUDIO READER (M.D.)

  • 1 Medical Center Dr

    Biddeford, ME 040059422

    Phone: (207) 283-7937

    Type: Location

  • Samaritan Medical Center, 830, Washington Street, Watertown, Jefferson County, New York, 13601, United States

    WATERTOWN, NY 136014066

    Phone: (315) 779-5298

    Fax: (315) 779-5295

    Type: Mailing

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: 2022-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20060413000691IInternal MedicineVTTBD
I20100216000151IInternal MedicineRITBD
I20120423000733IInternal MedicineNHTBD
I20221018002461IHospitalistMETBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes308301$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12374$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4234$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2828$0
99239Hospital discharge day management, more than 30 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 04005)

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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: 8527423706View full group profile
NameSpecialtyState
Internal MedicineTX
Internal MedicineNH
Family PracticeNH
Internal MedicineMI
Nephrology, Internal Medicine, NephrologyMA
Family PracticeME
Internal MedicineNH
Internal MedicineNY
Internal MedicineNY
Internal MedicineNH

Reviews

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Frequently asked questions

Can I cross-check CLAUDIO READER (M.D.) using NPI 1245288026?
NPI 1245288026 belongs to CLAUDIO READER (M.D.); compare other details if you need extra assurance.
Would CLAUDIO READER (M.D.) appear as active to a payer?
You can treat CLAUDIO READER (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with CLAUDIO READER (M.D.)?
CLAUDIO READER (M.D.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CLAUDIO READER (M.D.) associated with Biddeford?
Public fields place CLAUDIO READER (M.D.) around Biddeford, Maine. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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