JONATHAN CARL FELLERS (MD) – Addiction Psychiatry Physician, NPI 1508091281

JONATHAN CARL FELLERS (MD) is a healthcare provider. based in Portland, Maine. specializing in Addiction Psychiatry Physician. They hold the professional credentials MD. They hold a License No. MD20613 (ME). The NPI Number for JONATHAN CARL FELLERS (MD) is 1508091281

Main info

Male
Name
JONATHAN CARL FELLERS (MD)
NPI
1508091281
Phone
(207) 221-0635
Address
550 FOREST AVE STE 103
Enumeration Date
25 May 2009
Last Update Date
22 August 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for JONATHAN CARL FELLERS (MD)

  • 103, Forest Avenue, Downtown, Portland, Cumberland County, Maine, 04101, United States

    PORTLAND, ME 041011505

    Phone: (207) 221-0635

    Fax: (207) 221-0634

    Type: Location

  • South Portland Post Office, 15, Cottage Road, South Portland, Cumberland County, Maine, 04106, United States

    SOUTH PORTLAND, ME 041162613

    Phone: (207) 221-0635

    Fax: (207) 221-0634

    Type: Mailing

  • 1 CITY CTR STE 8130

    PORTLAND, ME 041016420

    Phone: (207) 221-0635

    Fax: (207) 221-0634

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 207 Open Payments records for all available years, with a total value of $3,651.

Total Amount is formed as General ($3,651) + Research ($0) + Ownership ($0) = $3,651.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($734).

Total Amount

$3,651

General + Research + Ownership

Payments

207

Total payment records

General Amount

$3,651

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-08-31

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
I20150831000427INeuropsychiatryMETBD

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 04101)

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Reviews

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Frequently asked questions

Does JONATHAN CARL FELLERS (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JONATHAN CARL FELLERS (MD) uses 1508091281.
Does CMS list JONATHAN CARL FELLERS (MD) as active?
Yes — JONATHAN CARL FELLERS (MD) is active in the NPI listing used on this page.
What is JONATHAN CARL FELLERS (MD) best known for clinically?
Directory data describes JONATHAN CARL FELLERS (MD) with Addiction Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is JONATHAN CARL FELLERS (MD) based?
JONATHAN CARL FELLERS (MD) is tied to Portland, Maine in the data we show; additional addresses may exist on the full record.
Is the information about JONATHAN CARL FELLERS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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