Peter H Bagley, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Rockport, ME
NPI 1003899683 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1003899683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- MD21833 (ME)
- Practice address
- 6 Glen Cove Dr
Rockport, ME 04856-4272 - Phone
- (207) 301-8542
- Fax
- (207) 301-5277
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 37
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- George Washington University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969
Hospital & facility affiliations
- Mainehealth Pen Bay Hospital
- Mainehealth Maine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180221000516 | ME | Practitioner - Pulmonary Disease | 0840195467 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD21833 | ME | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Regional Medical Center | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Locations
93 Campus Ave
Ste G25
Lewiston, ME 04240
Phone (207) 333-4799
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000
Interoperability endpoints
- pbagley640423@direct.mmc.mainehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 73375 | MA | |
| Pulmonary Disease Physician | 207RP1001X | MD21833 | ME | Yes |
Addresses
Primary practice location
6 Glen Cove Dr
Rockport, ME 04856-4272
Mailing address
6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 301-8542
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3068315 | Medicaid | MA |
Other providers in Rockport, ME
- Heather May Arsenault
- Mary Ashmore
- Atlantic Behavior Services
- Atlantic Behavior Services, Inc
- Wendelanne Augunas
- Balanced Dental Hygiene Suite
- Richard Baldwin
- David Vincent Bann
- Jacqueline Baran
- William E Barbour
All providers in Rockport, ME · Pulmonary Disease Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.