PENOBSCOT BAY PHYSICIANS & ASSOCIATES – Multi-Specialty Clinic/Center, NPI 1497799720

PENOBSCOT BAY PHYSICIANS & ASSOCIATES is a healthcare provider. based in Rockport, Maine. specializing in Multi-Specialty Clinic/Center. The NPI Number for PENOBSCOT BAY PHYSICIANS & ASSOCIATES is 1497799720

Main info

Organization
Name
PENOBSCOT BAY PHYSICIANS & ASSOCIATES
NPI
1497799720
Phone
(207) 596-8910
Address
3 GLEN COVE DR
Authorized Official
LYN B FALLER DIRECTOR
Enumeration Date
16 June 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for PENOBSCOT BAY PHYSICIANS & ASSOCIATES

  • 3, Glen Cove Drive, Rockport, Knox County, Maine, 04856, United States

    SUITE 2

    ROCKPORT, ME 048564232

    Phone: (207) 596-8910

    Fax: (207) 593-5302

    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: 2004-08-24

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
O20040824000665OClinic/Group PracticeMETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04856)

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Reviews

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Frequently asked questions

How is PENOBSCOT BAY PHYSICIANS & ASSOCIATES identified in CMS data?
CMS-hosted NPPES data lists PENOBSCOT BAY PHYSICIANS & ASSOCIATES with NPI 1497799720.
Does CMS list PENOBSCOT BAY PHYSICIANS & ASSOCIATES as active?
Yes — PENOBSCOT BAY PHYSICIANS & ASSOCIATES is active in the NPI listing used on this page.
What healthcare role does PENOBSCOT BAY PHYSICIANS & ASSOCIATES hold?
Scheduling teams often label PENOBSCOT BAY PHYSICIANS & ASSOCIATES under Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Does PENOBSCOT BAY PHYSICIANS & ASSOCIATES list a practice location?
Patients near Rockport, Maine may find PENOBSCOT BAY PHYSICIANS & ASSOCIATES in results; validate coverage separately.
Why does PENOBSCOT BAY PHYSICIANS & ASSOCIATES have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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