DAVID L ETTINGER (MD) – Family Medicine Physician, NPI 1871532424
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
403 EMERGENCY MEDICINE in ME
Provider Addresses for DAVID L ETTINGER (MD)
PO BOX 1599
BANGOR, ME 044021599
Phone: (207) 404-8100
Type: Mailing
992 UNION ST
BANGOR, ME 044013057
Phone: (207) 992-2601
Type: Location
992 Union St
Bangor, ME 044013057
Phone: (207) 992-2601
Type: Location
118 NORTHPORT AVE
BELFAST, ME 049156009
Phone: (207) 505-4123
Fax: (207) 338-6820
Type: Mailing
40, Bayberry Lane, Camden, Knox County, Maine, 04843, United States
CAMDEN, ME 048434012
Phone: (207) 236-9029
Type: Mailing
Pen Bay Medical Center, 6, Glen Cove Drive, Rockport, Knox County, Maine, 04856, United States
ROCKPORT, ME 04856
Phone: (207) 596-8333
Type: Location
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: 2005-05-17
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 |
|---|---|---|---|---|
| I20050517000795 | I | Emergency 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 134 | 130 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 72 | 67 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 42 | 41 | $0 |
| 99291 | Critical care, first 30-74 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 04402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ME | |
| Mental Health Counselor | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| Clinical Social Worker | ME | |
| Physician Assistant | ME | |
| - | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | ME |
Reviews
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