NPIMap

Individual provider Active NPI

Gary S. Rivard, DO

  • Family Medicine Physician
  • Turner, ME
National Provider Identifier
1194801993
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2113 Issued in ME
Practice address
7 Main St
Turner, ME 04282-4138
Phone
(207) 524-3501
Fax
(207) 225-2692
NPI assigned
Oct 27, 2006
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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 DO2113 ME Primary

Addresses

Primary practice location

7 Main St
Turner, ME 04282-4138

Mailing address

180 Church Hill Rd
Ste 1
Leeds, ME 04263-3418
Phone (207) 524-3501

Other identifiers 1

IdentifierTypeStateIssuer
434323099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090915000174 ME Practitioner - Family Practice 3870649973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DFD Russell Medical Center IncGroup PAC ID 3274502000, 12 clinicians

Practice addresses (Care Compare)

7 Main St
Turner, ME 04282-4138
Phone (207) 225-2676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.94 of 100Reported as group
Quality
47.72
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2113MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rumford Community Family Health Center, Inc. CurrentSince Oct 11, 2010 Accepting new patients
Rumford Community Family Health Center, Inc. CurrentSince Oct 11, 2010 Accepting new patients
DFD Russell Medical Center Inc CurrentSince May 1, 2017 Accepting new patients

Locations

180 Church Hill Rd
#1
Leeds, ME 04263
Phone (207) 524-3501

11 Academy Rd
Monmouth, ME 04259
Phone (207) 524-3501

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

7 Main St
Turner, ME 04282
Phone (207) 225-2676

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
DFD Russell Medical Center IncLeeds, ME, CCN 201827 Federally qualified health center Corporate Director (100%) May 1, 2017
DFD Russell Medical Center IncMonmouth, ME, CCN 201888 Federally qualified health center Corporate Director May 1, 2017
DFD Russell Medical Center IncTurner, ME, CCN 201887 Federally qualified health center Corporate Director May 1, 2017

Owned or controlled facilities with NPI records 3

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1194801993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CHURCH HILL RD",
            "address_2": "STE 1",
            "city": "LEEDS",
            "state": "ME",
            "postal_code": "042633418",
            "telephone_number": "207-524-3501",
            "fax_number": "207-524-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MAIN ST",
            "city": "TURNER",
            "state": "ME",
            "postal_code": "042824138",
            "telephone_number": "207-524-3501",
            "fax_number": "207-225-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVARD",
        "first_name": "GARY",
        "middle_name": "S.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO2113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434323099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turner, ME

Sources for this page

Verify at the official NPI Registry.