NPIMap

Individual provider Active NPI

Jonathan McDonough, PA-C

  • Surgical Physician Assistant
  • Falmouth, ME
National Provider Identifier
1316590946
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA1968 Issued in ME
Practice address
5 Bucknam Rd
Falmouth, ME 04105-1392
Phone
(207) 781-1551
NPI assigned
Jul 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA1968 ME Primary

Addresses

Primary practice location

5 Bucknam Rd
Falmouth, ME 04105-1392

Mailing address

5 Bucknam Rd
Falmouth, ME 04105-1392
Phone (207) 781-1551

Other practice location 1

60 High St
Cmhvi Y1
Lewiston, ME 04240-7616
Phone (207) 795-8260

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
I20201214002468 ME Practitioner - Physician Assistant 6002228186 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

5 Bucknam Rd
Suite 1D
Falmouth, ME 04105-1208
Phone (207) 781-1551

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1968MEMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Oct 16, 2023 Accepting new patients
Mainehealth CurrentSince Oct 16, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Oct 2, 2020 Accepting new patients
Central Maine Medical Center CurrentSince Oct 2, 2020 Accepting new patients
Rumford Hospital CurrentSince Oct 2, 2020 Accepting new patients
Maine Medical Partners CurrentSince Oct 16, 2023 Accepting new patients
Maine Medical Partners Surgical CurrentSince Oct 16, 2023 Accepting new patients
Bridgton Hospital CurrentSince Oct 2, 2020 Accepting new patients
Mainehealth Past Accepting new patients
Central Maine Medical Center PastSince Jul 28, 2019 Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

5 Bucknam Rd
Ste 1D
Falmouth, ME 04105
Phone (207) 781-1551

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

60 High St
#Y1
Lewiston, ME 04240
Phone (207) 795-8260

335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

5 Bucknam Rd
Portland, ME 04105
Phone (207) 781-1500

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: jmcdonough608640@direct.mmc.mainehealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1316590946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BUCKNAM RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051392",
            "telephone_number": "207-781-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BUCKNAM RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051392",
            "telephone_number": "207-781-1551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 High St",
            "address_2": "CMHVI Y1",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407616",
            "country_code": "US",
            "telephone_number": "207-795-8260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "JONATHAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "PA1968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

Verify at the official NPI Registry.