Individual provider Active NPI

Rachel Gormley, MD

  • Dermatopathology Physician
  • Portland, ME
National Provider Identifier
1316267990
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
MD20662 Issued in ME
Practice address
50 Sewall St
Portland, ME 04102-2645
Phone
(207) 775-3526
Fax
(207) 775-5658
NPI assigned
Jun 7, 2010
Last updated
Jan 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X MD20662 ME Primary

Addresses

Primary practice location

50 Sewall St
Portland, ME 04102-2645

Mailing address

50 Sewall St
Portland, ME 04102-2645
Phone (207) 775-3526

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150925001881 ME Practitioner - DermatologyPractitioner - Other (Physician) 3971811886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates, LLCGroup PAC ID 4587698279, 21 clinicians

Practice addresses (Care Compare)

50 Sewall St
Portland, ME 04102-2691
Phone 2077753526212

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions875
Removal or shaving of skin growth1-10
Skin biopsy443

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates, LLC CurrentSince Oct 1, 2015 Accepting new patients

Locations

57 Barra Rd
Biddeford, ME 04005
Phone (207) 282-1305

2 Admiral Fitch Ave
Ste B
Brunswick, ME 04011

50 Sewall St
Portland, ME 04102
Phone (207) 775-3526

Interoperability endpoints

  • Direct secure messaging: rachel.gormley@dermassoc.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1316267990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022645",
            "telephone_number": "207-775-3526",
            "fax_number": "207-775-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022645",
            "telephone_number": "207-775-3526",
            "fax_number": "207-775-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMLEY",
        "first_name": "RACHEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "ME",
            "license": "MD20662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.