NPIMap

Individual provider Active NPI

John J Gluscic, MD

  • Orthopaedic Surgery Physician
  • Millinocket, ME
National Provider Identifier
1205838174
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD13110 Issued in ME
Practice address
165 Poplar St
Suite 1
Millinocket, ME 04462-1235
Phone
(207) 723-2034
Fax
(207) 723-3006
NPI assigned
Aug 11, 2005
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD13110 ME Primary

Addresses

Primary practice location

165 Poplar St
Suite 1
Millinocket, ME 04462-1235

Mailing address

200 Somerset St
Millinocket, ME 04462-1258
Phone (207) 723-5161

Other identifiers 1

IdentifierTypeStateIssuer
1205838174MedicaidME

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
I20170320000701 ME Practitioner - Orthopedic Surgery 0042291312 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pines Health ServicesGroup PAC ID 0749275113, 58 clinicians

Practice addresses (Care Compare)

163 Van Buren Rd
Caribou, ME 04736-3567
Phone (207) 498-6921

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4802NDMDPharmacist
MD13110MEMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Sep 6, 2019 Accepting new patients
Houlton Regional Hospital CurrentSince Sep 6, 2019 Accepting new patients
Calais Community Hospital CurrentSince Oct 28, 2021 Accepting new patients
Down East Community Hospital Current Accepting new patients
City of Caribou CurrentSince Aug 1, 2024 Accepting new patients
Calais Community Hospital CurrentSince Oct 28, 2021 Accepting new patients
Pines Health Services CurrentSince Aug 1, 2024 Accepting new patients
Pines Health Services CurrentSince Aug 1, 2024 Accepting new patients
Orthopedic Surgery Specialists LTD Past Accepting new patients
CGH Medical Center Past Accepting new patients

Locations

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434

Interoperability endpoints

  • Direct secure messaging: jgluscic740567@direct.ochin.org

Organizations & group practices 10

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 4

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1205838174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOMERSET ST",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621258",
            "telephone_number": "207-723-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 POPLAR ST",
            "address_2": "SUITE 1",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621235",
            "telephone_number": "207-723-2034",
            "fax_number": "207-723-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUSCIC",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "MD13110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205838174",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millinocket, ME

Sources for this page

Verify at the official NPI Registry.