Individual provider Active NPI

Anthony Lee Fusco, DO

  • Family Medicine Physician
  • Stonington, ME
National Provider Identifier
1396157376
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2709 Issued in ME
Practice address
354 Airport Rd
Stonington, ME 04681-3217
Phone
(207) 367-2311
NPI assigned
May 27, 2014
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 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 DO2709 ME Primary

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 practice location 1

895 Union St
Suite 12
Bangor, ME 04401-3053
Phone (207) 973-7979

Other identifiers 1

IdentifierTypeStateIssuer
1396157376MedicaidME

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afusco@direct.emhs.org

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
I20171016001176 ME Practitioner - Family Practice 0345469680 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Blue Hill Memorial HospitalGroup PAC ID 7911991336, 11 clinicians

Practice addresses (Care Compare)

354 Airport Rd
Stonington, ME 04681-3217
Phone (207) 367-2311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.25 of 100Reported as group
Quality
86.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Coast Regional Health Facilities CurrentSince Sep 24, 2019 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Sep 24, 2019 Accepting new patients

Locations

32 Resort Way
Ellsworth, ME 04605
Phone (207) 664-5480

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northern Light Blue Hill Hospital Swing Bed ProgramBlue Hill, ME, CCN 20Z300 Hospital Corporate Director Jul 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1396157376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 AIRPORT RD",
            "city": "STONINGTON",
            "state": "ME",
            "postal_code": "046813217",
            "telephone_number": "207-367-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 AIRPORT RD",
            "city": "STONINGTON",
            "state": "ME",
            "postal_code": "046813217",
            "telephone_number": "207-367-2311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 Union St",
            "address_2": "Suite 12",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013053",
            "country_code": "US",
            "telephone_number": "207-973-7979",
            "fax_number": "207-947-9579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUSCO",
        "first_name": "ANTHONY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO2709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396157376",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afusco@direct.emhs.org",
            "affiliation": "N",
            "address_1": "354 Airport Rd",
            "city": "Stonington",
            "state": "ME",
            "country_code": "US",
            "postal_code": "046813217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stonington, ME

Sources for this page

Verify at the official NPI Registry.