Active NPI
Gordon A Millspaugh III, M.D.
- Gastroenterology Physician
- Portland, ME
National Provider Identifier
1114025988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 015837
- Practice address
- 161 Marginal Way
Portland, ME 04101-2438 - Phone
- (207) 773-7964
- Fax
- (207) 773-9073
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 015837 | ME | Primary |
Addresses
Primary practice location
161 Marginal Way
Portland, ME 04101-2438
Mailing address
161 Marginal Way
Portland, ME 04101-2438
Phone (207) 773-7964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304210099 | 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
- Gastroenterology
- Education
- Columbia University College of Physicians and Surgeons, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
161 Marginal Way
Portland, ME 04101-2438
Phone 2077737964232
Hospital & facility affiliations
- Mainehealth Maine Medical Center
- Memorial Hospital, the
- Mainehealth Mid Coast Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 94 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 152 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015837 | ME | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Portland Gastroenterology Associates P.a. | Gastroenterology | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| Portland Endoscopy Center | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
1200 Congress St
Ste 300
Portland, ME 04102
Phone (207) 773-7964
161 Marginal Way
Portland, ME 04101
Phone (207) 773-7964
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Portland, ME
- NPI 1508087289
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Nephrology Physician
- Portland, ME
- NPI 1780788372
-
- Ambulatory Surgical Clinic/Center
- Portland, ME
- NPI 1558456459
Hospital & facility affiliations 42
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1114025988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 MARGINAL WAY",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012438",
"telephone_number": "207-773-7964",
"fax_number": "207-773-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 MARGINAL WAY",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012438",
"telephone_number": "207-773-7964",
"fax_number": "207-773-9073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLSPAUGH",
"first_name": "GORDON",
"middle_name": "A",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ME",
"license": "015837",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304210099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.