Active NPI
Lars Mikael Qvick, M.D.
- Orthopaedic Surgery Physician
- Auburn, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD20434
- Practice address
- 15 Gracelawn Rd
Suite 101
Auburn, ME 04210-6334 - Phone
- (207) 333-4710
- Fax
- (207) 333-4715
- NPI assigned
- Jun 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD20434 | ME | Primary |
Addresses
Primary practice location
15 Gracelawn Rd
Suite 101
Auburn, ME 04210-6334
Mailing address
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | ME |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Gracelawn Rd
Suite 101
Auburn, ME 04210-6347
Phone (207) 333-4710
Hospital & facility affiliations
- St Mary'S Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD20434 | ME | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients |
Locations
15 Gracelawn Rd
Auburn, ME 04210
Phone (207) 333-4799
15 Gracelawn Rd
Ste 101
Auburn, ME 04210
Phone (207) 333-4710
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
Interoperability endpoints
- lqvick1154874@direct.bsmhealth.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
- Urgent Care Clinic/Center
- Auburn, ME
- NPI 1407242522
-
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1952306524
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1104054071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7291",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042437291",
"telephone_number": "207-777-8950",
"fax_number": "207-777-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 GRACELAWN RD",
"address_2": "SUITE 101",
"city": "AUBURN",
"state": "ME",
"postal_code": "042106334",
"telephone_number": "207-333-4710",
"fax_number": "207-333-4715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QVICK",
"first_name": "LARS",
"middle_name": "MIKAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ME",
"license": "MD20434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.