LISE M CLOUTIER (MD) – Internal Medicine Physician, NPI 1386624096
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
916 INTERNAL MEDICINE in ME
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Provider Addresses for LISE M CLOUTIER (MD)
12, High Street, Lewiston, Androscoggin County, Maine, 04240, United States
STE 400
LEWISTON, ME 042407634
Phone: (207) 795-5700
Fax: (207) 795-5727
Type: Mailing
12 High St
Ste 400
Lewiston, ME 042407634
Phone: (207) 795-5700
Fax: (207) 795-5727
Type: Location
2 LIVEWELL DR
KENNEBUNK, ME 040436762
Phone: (207) 467-8988
Fax: (207) 467-8969
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: 2005-04-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050421000954 | I | Internal Medicine | ME | TBD |
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.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 175 | 106 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 118 | 66 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 89 | 89 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 44 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 20 | 19 | $0 |
Insurance plans in this area (ZIP 04240)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | ME | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 24 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| P O D I A T R Y | ME | |
| Certified Registered Nurse Anesthetist (Crna) | ME | |
| Nurse Practitioner | ME | |
| - | ME | |
| - | OR | |
| - | ME | |
| Critical Care (Intensivists), Sleep Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary Disease | ME | |
| - | NH | |
| Nurse Practitioner | ME |
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