Active NPI
Michael David Pleacher, MD
- Pediatrics Physician
- Brunswick, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD16483
- Practice address
- 47 Watson Dr
Brunswick, ME 04011 - Phone
- (207) 274-0285
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Sports Medicine Physician | 2080S0010X | MD16483 | ME | |
| Pediatrics Physician | 208000000X | MD16483 | ME | Primary |
Addresses
Primary practice location
47 Watson Dr
Brunswick, ME 04011
Mailing address
47 Watson Dr
Brunswick, ME 04011
Other practice location 1
119 Gannett Dr
South Portland, ME 04106-6942
Phone (207) 773-0040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 942854058645 | Medicaid | UT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Virginia Commonwealth University, School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
430 Bath Rd
Suite 102
Brunswick, ME 04011-2656
Phone (207) 442-0350
730 Ctr St
Auburn, ME 04210-6316
Phone (207) 783-3450
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Pediatrics | Current | Accepting new patients |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Pediatrics | Past | Accepting new patients |
Locations
887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
119 Gannett Dr
South Portland, ME 04106
Phone (207) 773-0040
584 Roosevelt Trl
#302
Windham, ME 04062
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
Interoperability endpoints
- mpleacher31188@direct.mmc.mainehealth.org
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Surgery Physician
- Portland, ME
- NPI 1285738310
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Portland, ME
- NPI 1174897078
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Pediatrics Physician
- Falmouth, ME
- NPI 1629382601
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brunswick, ME
- NPI 1609923747
-
- General Acute Care Hospital
- Brunswick, ME
- NPI 1932164795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1417065558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 WATSON DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "04011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 WATSON DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "04011",
"telephone_number": "207-274-0285"
}
],
"practiceLocations": [
{
"address_1": "119 Gannett Dr",
"address_purpose": "LOCATION",
"city": "South Portland",
"state": "ME",
"postal_code": "041066942",
"country_code": "US",
"telephone_number": "207-773-0040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLEACHER",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "ME",
"license": "MD16483",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ME",
"license": "MD16483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "942854058645",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.