DR. MICHAEL DAVID PLEACHER (MD) – Pediatrics Physician, NPI 1417065558
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
49 SPORTS MEDICINE in ME
Provider Addresses for DR. MICHAEL DAVID PLEACHER (MD)
119 Gannett Dr
South Portland, ME 041066942
Phone: (207) 773-0040
Type: Location
47 WATSON DR
BRUNSWICK, ME 04011
Phone:
Type: Mailing
33, Sewall Street, Rosemont, Portland, Cumberland County, Maine, 04102, United States
PORTLAND, ME 041022603
Phone: (207) 828-2100
Fax: (207) 828-2190
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: 2011-10-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111011000655 | I | Sports 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 111 | 67 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 94 | 49 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 56 | 56 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 38 | 28 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 21 | 18 | $0 |
Insurance plans in this area (ZIP 04106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Family Practice, Hospice/Palliative Care | ME | |
| Pediatric Medicine, Endocrinology | MA | |
| - | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME |
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