JOHN B THALLER (MD) – Orthopaedic Hand Surgery Physician, NPI 1922047505

JOHN B THALLER (MD) is a healthcare provider. based in Augusta, Maine. specializing in HAND SURGERY, ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 017126 (ME). The NPI Number for JOHN B THALLER (MD) is 1922047505

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JOHN B THALLER (MD)
NPI
1922047505
Phone
(207) 621-8700
Address
15 ENTERPRISE DR
Enumeration Date
6 June 2006
Last Update Date
28 August 2015

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
2078721000
Graduation Year
2000 (26 years ago)
PAC ID
7214930759
Group Practice PAC ID
1254245715
Professional Enrollment ID
I20060823000037
Address ID
ME049010000WA149XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

21 HAND SURGERY in ME

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Provider Addresses for JOHN B THALLER (MD)

  • Enterprise, Washington Road, Bristol Wood, Augusta, Richmond County, Georgia, 30907, United States

    STE 100

    AUGUSTA, ME 043307894

    Phone: (207) 621-8700

    Fax: (207) 621-8701

    Mailing address matches the actual address.

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: 2006-08-23

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
I20060823000037IHand SurgeryMETBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5549$0
99203New patient office or other outpatient visit, 30-44 minutes5353$0
26055Incision of tendon covering of finger3022$0
99214Established patient office or other outpatient visit, 30-39 minutes2625$0
64721Release and/or relocation of hand nerve2121$0
View full utilization report →

Insurance plans in this area (ZIP 04330)

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Provider's Procedures

JOHN B THALLER (MD) performs procedures in HAND SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HAND SURGERYME73140X-ray of fingers, minimum of 2 views3222

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: 1254245715View full group profile

Reviews

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Frequently asked questions

How do payers reference JOHN B THALLER (MD)?
For JOHN B THALLER (MD), use NPI 1922047505 as the unique 10-digit identifier.
Is JOHN B THALLER (MD) shown as active in public data?
Registry records indicate JOHN B THALLER (MD) maintains an active NPI.
What clinical focus is listed for JOHN B THALLER (MD)?
At a glance, JOHN B THALLER (MD) is tied to Orthopaedic Hand Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JOHN B THALLER (MD)?
Directory geography for JOHN B THALLER (MD) centers on Augusta, Maine.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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