Individual provider Active NPI

David B. McDermott, M.D.

  • Family Medicine Physician
  • Dover Foxcroft, ME
National Provider Identifier
1316981749
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12650 Issued in ME
Practice address
897 W Main St
Dover Foxcroft, ME 04426-1029
Phone
(207) 564-8401
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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 12650 ME Primary

Addresses

Primary practice location

897 W Main St
Dover Foxcroft, ME 04426-1029

Mailing address

897 W Main St
Dover Foxcroft, ME 04426-1029
Phone (207) 564-8401

Other identifiers 2

IdentifierTypeStateIssuer
P00165460OtherMERAILROAD MEDICARE
291860099MedicaidME

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmcdermott@mayohospital.cernerdirect.com Direct

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
I20040728000551 ME Practitioner - Family Practice 9638149677 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Vermont College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MRH CorpGroup PAC ID 1355770892, 36 clinicians

Practice addresses (Care Compare)

43 Dwelley Ave
Dover Foxcroft, ME 04426-1005
Phone (207) 564-8300

492 Main St
Corinth, ME 04427-3273
Phone (207) 285-3435

891 W Main St
Suite 200
Dover Foxcroft, ME 04426-1060
Phone (207) 564-4464

897 W Main St
Dover Foxcroft, ME 04426-1029
Phone (207) 564-8401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.7 of 100Reported as group
Quality
74.14
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12650MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Maine Healthcare Systems CurrentSince Apr 20, 2021 Accepting new patients
Sound Physicians of Massachusetts, Inc Family Medicine CurrentSince Apr 1, 2015 Accepting new patients
MRH Corp. CurrentSince Mar 1, 2020 Accepting new patients
Sound Physicians of Massachusetts Inc Family Medicine CurrentSince Apr 1, 2015 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Apr 20, 2021 Accepting new patients
Emergency Medicine Services of Maine, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

891 W Main St
Ste 200
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

891 W Main St
Ste 500
Dovr Foxcroft, ME 04426
Phone (207) 564-4466

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

891 W Main St
Ste 700
Dovr Foxcroft, ME 04426
Phone (207) 564-4466

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200

Interoperability endpoints

  • Direct secure messaging: dmcdermott@mayohospital.cernerdirect.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1316981749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261029",
            "telephone_number": "207-564-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261029",
            "telephone_number": "207-564-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "DAVID",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "12650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00165460",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291860099",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmcdermott@mayohospital.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Northern Light Mayo Hospital Cerner Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "897 W Main St",
            "city": "Dover Foxcroft",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044261029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

Verify at the official NPI Registry.