Individual provider Active NPI

Anthony Pastore, DO

  • Family Medicine Physician
  • Lewiston, ME
National Provider Identifier
1124684360
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TP19033 Issued in ME
Practice address
76 High St
Lewiston, ME 04240-7649
Phone
(207) 795-2800
NPI assigned
May 14, 2019
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TP19033 ME Primary

Addresses

Primary practice location

76 High St
Lewiston, ME 04240-7649

Mailing address

76 High St
Lewiston, ME 04240-7649
Phone (207) 795-2800

Other practice location 1

409 Roosevelt Trl
Windham, ME 04062-4821
Phone (207) 400-8600

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
I20221129000194 ME Practitioner - Family Practice 0345576310 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

19 S Gorham Xing
Gorham, ME 04038-2690
Phone (207) 535-1400

225 Gorham Rd
Suite 200
South Portland, ME 04106-2462
Phone (207) 400-8700

300 Main St
Lewiston, ME 04240-7027
Phone (207) 753-3900

385 Route 1
Yarmouth, ME 04096-6729
Phone (207) 535-1200

40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174

409 Roosevelt TRL
Windham, ME 04062-4821
Phone (207) 400-8600

76 High St
FL 1
Lewiston, ME 04240-7649
Phone (207) 795-2800

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
60.7
Promoting interoperability
91
Improvement activities
40
Cost
73.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Nov 2, 2022 Accepting new patients
Bridgton Hospital CurrentSince Jul 19, 2023 Accepting new patients
Rumford Hospital CurrentSince Jul 19, 2023 Accepting new patients
Vna Home Health & Hospice CurrentSince Dec 1, 2023 Accepting new patients
Mercy Hospital CurrentSince Jan 1, 2023 Accepting new patients
Mercy Hospital CurrentSince Jan 1, 2023 Accepting new patients
Bridgton Hospital CurrentSince Jul 19, 2023 Accepting new patients
Rumford Community Family Health Center, Inc. Current Accepting new patients
Central Maine Medical Center CurrentSince Nov 2, 2022 Accepting new patients
Mercy Hospital Current Accepting new patients
Central Maine Medical Center Current Accepting new patients
Rumford Community Family Health Center, Inc. CurrentSince Nov 7, 2024 Accepting new patients
Rumford Hospital CurrentSince Jul 19, 2023 Accepting new patients
Independent Order of Odd Fellows Home of Maine Past Accepting new patients
Independent Order of Odd Fellows Home of Maine Past Accepting new patients
Coastal Manor Corporation PastSince Mar 24, 2025 Accepting new patients

Locations

885 Union St
Ste 220
Bangor, ME 04401
Phone (207) 973-4702

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

146 Weld St
Dixfield, ME 04224
Phone (207) 562-4226

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

175 Fore River Pkwy
Portland, ME 04102
Phone (207) 553-6105

18 Green Hill Rd
Ste 1
Presque Isle, ME 04769
Phone (207) 973-4702

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

430 Franklin St
Rumford, ME 04276
Phone (207) 369-0146

225 Gorham Rd
Ste 200
South Portland, ME 04106
Phone (207) 400-8700

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

409 Roosevelt Trl
Windham, ME 04062
Phone (207) 400-8600

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Coastal Manor CorporationYarmouth, ME, CCN 205157 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 1, 2023
Mar 24, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 7

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1124684360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 HIGH ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407649",
            "telephone_number": "207-795-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 HIGH ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407649",
            "telephone_number": "207-795-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Roosevelt Trl",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "ME",
            "postal_code": "040624821",
            "country_code": "US",
            "telephone_number": "207-400-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASTORE",
        "first_name": "ANTHONY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "TP19033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.