Active NPI
Timothy T. Goltz, M.D.
- Family Medicine Physician
- Damariscotta, ME
National Provider Identifier
1245226869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD13711
- Practice address
- 24 Miles Center Way
Damariscotta, ME 04543-4047 - Phone
- (207) 563-4250
- Fax
- (207) 563-4246
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 013711 | ME | |
| Family Medicine Physician | 207Q00000X | MD13711 | ME | Primary |
Addresses
Primary practice location
24 Miles Center Way
Damariscotta, ME 04543-4047
Mailing address
24 Miles Center Way
Damariscotta, ME 04543-4047
Phone (207) 563-4250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 326540099 | Medicaid | ME |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Wisconsin School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
24 Miles Ctr Way
Maine Behavioral Healthcare
Damariscotta, ME 04543-4067
Phone (844) 292-0111
5 Miles Ctr Way
Damariscotta, ME 04543-4067
Phone (207) 563-3782
Hospital & facility affiliations
- Mainehealth Home Health and Hospice
- Amedisys Home Health
- Mainehealth Home Health and Hospice
- Lincolnhealth
- Mainehealth Pen Bay Hospital
- Mainehealth Mid Coast Hospital
- Mainehealth Maine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013711 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Family Medicine | Past | Accepting new patients |
Locations
236 Townsend Ave
Boothbay Hbr, ME 04538
Phone (207) 633-1540
35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234
24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Interoperability endpoints
- tgoltz803@direct.mmc.mainehealth.org
Organizations & group practices 5
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Critical Access Hospital
- Damariscotta, ME
- NPI 1912094806
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Gynecologic Oncology Physician
- Scarborough, ME
- NPI 1851605455
Hospital & facility affiliations 42
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Portland, ME
- NPI 1366617680
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1245226869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 MILES CENTER WAY",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "045434047",
"telephone_number": "207-563-4250",
"fax_number": "207-563-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MILES CENTER WAY",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "045434047",
"telephone_number": "207-563-4250",
"fax_number": "207-563-4246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLTZ",
"first_name": "TIMOTHY",
"middle_name": "T.",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "013711",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "MD13711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "326540099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Damariscotta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.