Individual provider Active NPI

George Richard Polkinghorn, MD

  • Medical Oncology Physician
  • Brunswick, ME
National Provider Identifier
1033182019
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
14286 Issued in ME
Practice address
81 Medical Center Dr
Suite 1300
Brunswick, ME 04011-2690
Phone
(207) 729-1148
Fax
(207) 729-2789
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 14286 ME Primary

Addresses

Primary practice location

81 Medical Center Dr
Suite 1300
Brunswick, ME 04011-2690

Mailing address

PO Box 911
Brattleboro, VT 05302-0911
Phone (207) 885-7601

Other identifiers 2

IdentifierTypeStateIssuer
335540099MedicaidME
830006189OtherMERAILROAD MEDICARE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000235 ME Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 7315903101 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology, Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

361 Old Belgrade Rd
Augusta, ME 04330-8058
Phone (207) 621-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.44 of 100Reported as individual
Quality
95
Improvement activities
0
Cost
80.65

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14286MEMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redington-Fairview General Hospital CurrentSince Mar 14, 2012 Accepting new patients
Redington-Fairview General Hospital CurrentSince Mar 14, 2012 Accepting new patients
Mainegeneral Medical Center CurrentSince Mar 1, 2012 Accepting new patients
Mainehealth CurrentSince Aug 9, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Mar 1, 2012 Accepting new patients
Mainehealth CurrentSince May 15, 2023 Accepting new patients
Mainehealth CurrentSince May 15, 2023 Accepting new patients
Spectrum Healthcare Partners, PA Past Accepting new patients

Locations

361 Old Belgrade Rd
Augusta, ME 04330
Phone (207) 621-6100

66 Baribeau Dr
Brunswick, ME 04011
Phone (207) 373-6950

81 Medical Center Dr
Ste 1300
Brunswick, ME 04011
Phone (207) 373-6099

35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

100 Campus Dr
Unit 108
Scarborough, ME 04074
Phone (207) 303-3300

46 Fairview Ave
Ste 224
Skowhegan, ME 04976
Phone (207) 848-8340

46 Fairview Ave
Skowhegan, ME 04976
Phone 2074745121293

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: gpolkinghorn144068@direct.mmc.mainehealth.org

Organizations & group practices 8

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1033182019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053020911",
            "telephone_number": "207-885-7601",
            "fax_number": "207-885-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR",
            "address_2": "SUITE 1300",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112690",
            "telephone_number": "207-729-1148",
            "fax_number": "207-729-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLKINGHORN",
        "first_name": "GEORGE",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "ME",
            "license": "14286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335540099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "830006189",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.