Timothy A. Cobb, DO
Individual provider Active NPI Family Medicine Physician · Stonington, ME
NPI 1326557372 · NPPES record last updated Dec 21, 2020
Key facts
- NPI
- 1326557372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO3078 (ME)
- Practice address
- 354 Airport Rd
Stonington, ME 04681-3217 - Phone
- (207) 367-2311
- Fax
- (207) 367-2805
- NPI assigned
- Sep 21, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Blue Hill Memorial Hospital
Practice addresses (Care Compare)
354 Airport Rd
Stonington, ME 04681-3217
Phone (207) 367-2311
Hospital & facility affiliations
- Northern Light Home Care & Hospice
- Northern Light Home Care & Hospice
- Northern Light Blue Hill Memorial Hospital
- Northern Light Maine Coast Hospital
- Northern Light Eastern Maine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.25 of 100
- Quality
- 86.48
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200807000850 | ME | Practitioner - Family Practice | 7012273428 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Coast Regional Health Facilities | Current |
Accepting new patients | |
| The Blue Hill Memorial Hospital | Current |
Accepting new patients | |
| Maine Coast Regional Health Facilities | Current |
Accepting new patients | |
| The Blue Hill Memorial Hospital | Current |
Accepting new patients | |
| Vna Home Health & Hospice | Past | Accepting new patients |
Locations
57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400
43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
354 Airport Rd
Stonington, ME 04681
Phone (207) 367-2311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO3078 | ME | Yes |
Addresses
Primary practice location
354 Airport Rd
Stonington, ME 04681-3217
Mailing address
354 Airport Rd
Stonington, ME 04681-3217
Phone (207) 367-2311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326557372 | Medicaid | ME |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tacobb@direct.emhs.org |
Other providers in Stonington, ME
- Wendy Alpaugh
- Denise Antonition
- Coastal Mobile Phlebotomy
- Helen Deuschle
- Katherine Doyen
- Anthony Lee Fusco
- Nancy Dobbs Greene
- Elysia Irwin Kapsha
All providers in Stonington, ME · Family Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.