Individual provider Active NPI

Peter Tioseco Ocampo, DPM

  • Podiatrist
  • Scarborough, ME
National Provider Identifier
1003902149
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD1031 Issued in ME
Practice address
25 Plaza Dr
Ste 9
Scarborough, ME 04074-6900
Phone
(207) 883-0865
Fax
(207) 883-0913
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD1031 ME Primary

Addresses

Primary practice location

25 Plaza Dr
Ste 9
Scarborough, ME 04074-6900

Mailing address

25 Plaza Dr
Ste 9
Scarborough, ME 04074-6900
Phone (207) 883-0865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719001179 ME Practitioner - Podiatry 5597744813 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

730 Ctr St
Suite 9
Auburn, ME 04210-6316
Phone (207) 783-3450

Hospital & facility affiliations

  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024
  • Rumford Hospital Hospital, Rumford, ME, CCN 201306
  • Bridgton Hospital Hospital, Bridgton, ME, CCN 201310

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rumford Hospital CurrentSince Jun 20, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Bridgton Hospital CurrentSince Jun 20, 2022 Accepting new patients
Bridgton Hospital CurrentSince Jun 20, 2022 Accepting new patients
Rumford Hospital CurrentSince Jun 20, 2022 Accepting new patients

Locations

690 Minot Ave
#1
Auburn, ME 04210
Phone (207) 783-1328

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1003902149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PLAZA DR",
            "address_2": "STE 9",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040746900",
            "telephone_number": "207-883-0865",
            "fax_number": "207-883-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PLAZA DR",
            "address_2": "STE 9",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040746900",
            "telephone_number": "207-883-0865",
            "fax_number": "207-883-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCAMPO",
        "first_name": "PETER",
        "middle_name": "TIOSECO",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "POD1031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.