Active NPI
Meagan W Moore, MD, PHD
- Pulmonary Disease Physician
- South Portland, ME
National Provider Identifier
1154596997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD21522
- Practice address
- 100 Foden Rd Ste 103
South Portland, ME 04106-2327 - Phone
- (207) 828-1122
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 052675 | CT | |
| Internal Medicine Physician | 207R00000X | MD21522 | ME | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 052675 | CT | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD21522 | ME | |
| Pulmonary Disease Physician | 207RP1001X | 052675 | CT | |
| Pulmonary Disease Physician | 207RP1001X | MD21522 | ME | Primary |
Addresses
Primary practice location
100 Foden Rd Ste 103
South Portland, ME 04106-2327
Mailing address
100 Foden Rd Ste 103
South Portland, ME 04106-2327
Phone (207) 828-1122
Other practice location 1
111 Franklin Health Cmns
Farmington, ME 04938-6144
Phone (207) 779-2734
Other practice location 2
96 Campus Drive
Scarborough, ME 04074
Phone (207) 661-4247
Other practice location 3
20 York St
T-209
New Haven, CT 06510-3220
Phone (203) 688-2259
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170414000417 | ME | Practitioner - Internal Medicine | 6204156839 | Reassigns benefits to 7 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052675 | CT | MD | Pulmonary Disease Physician |
| MD21522 | ME | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Down East Community Hospital | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Down East Community Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Down East Community Hospital | Current | Accepting new patients | |
| Chest Medicine Associates, PA | Pulmonary Disease | Current | Accepting new patients |
| Down East Community Hospital | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Locations
24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213
111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326
11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
96 Campus Dr
Scarborough, ME 04074
Phone (207) 885-9905
100 Foden Rd
#103
South Portland, ME 04106
Phone (207) 828-1122
100 Foden Rd
Ste 103
South Portland, ME 04106
Phone (207) 828-1122
40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
- meagan.moore.p1@direct.cma.nextgenshare.com
Organizations & group practices 13
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.
-
- Pulmonary Disease Physician
- South Portland, ME
- NPI 1437255247
ME, Pulmonary Disease
-
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
-
- Rural Health Clinic/Center
- Baileyville, ME
- NPI 1467205112
-
- Medicare Defined Swing Bed Hospital Unit
- Machias, ME
- NPI 1336587542
-
- Multi-Specialty Clinic/Center
- Calais, ME
- NPI 1972015774
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- General Acute Care Hospital
- Farmington, ME
- NPI 1609356419
Hospital & facility affiliations 45
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Connecticut School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chest Medicine Associates PAMainehealthMercy Hospital
Practice addresses (Care Compare)
100 Foden Rd
Suite 103
South Portland, ME 04106-2327
Phone (207) 828-1122
111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone (207) 779-3113
155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000
175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000
40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174
Hospital & facility affiliations
- Mainehealth Maine Medical Center
- Northern Light Mercy Hospital
- Mainehealth Pen Bay Hospital
- Mainehealth Stephens Hospital
- Memorial Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.67 of 100
- Quality
- 60.7
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 73.8
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1154596997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 FODEN RD STE 103",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062327",
"telephone_number": "207-828-1122",
"fax_number": "207-828-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FODEN RD STE 103",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062327",
"telephone_number": "207-828-1122"
}
],
"practiceLocations": [
{
"address_1": "111 Franklin Health Cmns",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "ME",
"postal_code": "049386144",
"country_code": "US",
"telephone_number": "207-779-2734",
"fax_number": "207-779-2157",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "96 Campus Drive",
"address_purpose": "LOCATION",
"city": "Scarborough",
"state": "ME",
"postal_code": "04074",
"country_code": "US",
"telephone_number": "207-661-4247",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 York St",
"address_2": "T-209",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103220",
"country_code": "US",
"telephone_number": "203-688-2259",
"fax_number": "203-688-5599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "MEAGAN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "052675",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "MD21522",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CT",
"license": "052675",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "ME",
"license": "MD21522",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CT",
"license": "052675",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "ME",
"license": "MD21522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.