Bo Pang, DO

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

DO3270 Issued in ME

Practice address

81 Medical Center Dr Ste 1150
Brunswick, ME 04011-2765

Phone

(207) 721-0911

Fax

(207) 721-9729

NPI assigned

Jun 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ME, HI2 enrollments

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 2

Specialty

Otolaryngology

Education

Michigan State University College of Osteopathic Medicine, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maine General Medical Center Hospital, Augusta, ME, CCN 200039
• Mainehealth Waldo Hospital Hospital, Belfast, ME, CCN 201312

Merit-based Incentive Payment System (MIPS)

Final score

95.82 of 100Reported as group

Quality

100

Improvement activities

40

Cost

86.05

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
• HI PPO

Interoperability endpoints

• Direct secure messaging: bpang369930@direct.hfhs.org
• Direct secure messaging: bopang@mgh.allscriptsdirect.net

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.

• Cape Concierge Medicine PA

  • Otolaryngology Physician
  • South Portland, ME
  • NPI 1881490589
  Medicare reassignment NPD Authorized official
• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1669423380
  Medicare reassignment Care Compare group NPD
• Mainehealth

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• Hawaii Ear Nose and Throat Consultants Corp

  • Otolaryngology Physician
  • Honolulu, HI
  • NPI 1154350148
  Medicare reassignment NPD
• Mainehealth

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  • Infectious Disease Physician
  • Portland, ME
  • NPI 1073701157
  NPD
• Mainehealth

  • Family Medicine Physician
  • Portland, ME
  • NPI 1629761978

  Otolaryngology

  NPD (past)

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

• Mainehealth

  • Critical Access Hospital
  • Belfast, ME
  • NPI 1841397932
  Care Compare affiliation

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1134579519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR STE 1150",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112765",
            "telephone_number": "207-721-0911",
            "fax_number": "207-721-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR STE 1150",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112765",
            "telephone_number": "207-721-0911",
            "fax_number": "207-721-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043308160",
            "country_code": "US",
            "telephone_number": "207-622-8600",
            "fax_number": "207-622-8601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27351 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480713487",
            "country_code": "US",
            "telephone_number": "248-967-7795",
            "fax_number": "248-967-7794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANG",
        "first_name": "BO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ME",
            "license": "DO3270",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "5101022329",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "ME",
            "license": "DO3270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anthony Roche Ouellette, LCSW
• Patricia Lynn Ouellette, M.D.
• Peggy A Ouellette, FPMH-NP
• Jessica L Packard, LCPC
• Tamzyn Palmer
• Paper Crane Acupuncture and Wellness, LLC
• Shawn Paquette, DPT
• Sarah L Keats Pardue, M.S.
• Nicholas P Pare
• Danielle S Parent, LCSW

• Facial Plastic Surgery Physician in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Facial Plastic Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.

Verify at the official NPI Registry.